81例新型布尼亚病毒感染的回顾性研究
DOI:
作者:
作者单位:

光山县人民医院

作者简介:

通讯作者:

中图分类号:

基金项目:


A retrospective study of 81 cases of novel Bunyavirus infection
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的:分析新型布尼亚病毒感染的临床特征。方法 收集2020年3月~2022年10月期间本院收治的81例新型布尼亚病毒感染患者的临床资料行回顾性分析。分析对比新型布尼亚病毒感染的临床特征、预后情况,并比较不同预后患者实验室指标、核酸定量情况。结果:81例新型布尼亚病毒感染患者中,男性占比37.04%、女性占比62.96%,且98.77%的患者居住在丘陵或山林地区的农村地区;临床表现以发热、乏力为主,70~79岁是高发感染年龄段,夏季感染发生率最高;81例患者经治疗后,有63例治愈、18例病死;病死者血小板计数、纤维蛋白原、血清钙、肾小球滤过率较治愈者低,丙氨酸氨基转移酶、肌钙蛋白Ⅰ、肌酸激酶、肌酸激酶同工酶、凝血酶原时间、活化部分凝血活酶时间、钾离子、肿瘤坏死因子、D-二聚体、白介素6、白介素8、白介素10、降钙素原、γ-谷氨酰转氨酶、谷草转氨酶、乳酸脱氢酶、血肌酐、核酸定量较治愈者高(P<0.05)。结论 新型布尼亚病毒感染以居住在丘陵或山林地区的农村为主,女性发病率较高,且集中在70~79岁年龄段、夏季,临床症状以发热、乏力等为主,肝、肾、炎性因子、凝血等实验室指标及病毒载量与患者预后有关。

    Abstract:

    Objective: To analyze the clinical features of novel Bunyavirus infection. Methods The clinical data of 81 patients with novel Bunyavirus infection admitted to our hospital from March 2020 to October 2022 were retrospectively analyzed. The clinical features and prognosis of novel Bunyavirus infection were analyzed and compared, and the laboratory indicators and nucleic acid quantification of patients with different prognosis were compared. Results: Among the 81 patients infected with new Bunia virus, 37.04% were male and 62.96% were female. 98.77% of the patients lived in rural areas of hills or mountains. Fever and fatigue were the main clinical manifestations. 70-79 years old were the most common age group with the highest incidence in summer. Of the 81 patients, 63 were cured and 18 died. The platelet count, fibrinogen, serum calcium and glomerular filtration rate of the deceased patients were lower than those of the cured patients. Alanine aminotransferase, troponin Ⅰ, creatine kinase, creatine kinase isoenzyme, prothrombin time, activated partial thromboplastin time, potassium ion, tumor necrosis factor, D-dimer, interleukin-6, interleukin-8, interleukin-10, procalcitonin, γ-glutamyl transaminase, glutamic oxalacetic transaminase, lactate dehydrogenase, serum creatinine, nucleic acid quantities were higher than those of cured patients (P < 0.05). Conclusion New Bunyavirus infection is most common in rural areas living in hilly or mountainous areas. The incidence of new Bunyavirus infection is higher in females, and it is concentrated in 70-79 years of age and summer. The clinical symptoms are mainly fever and fatigue, and laboratory indicators such as liver, kidney, inflammatory factors, coagulation and viral load are related to the prognosis of patients.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2024-11-05
  • 最后修改日期:2024-12-10
  • 录用日期:2024-12-12
  • 在线发布日期:
  • 出版日期: