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文章數：4 |
 Measles 麻疹 |
| 知識學習｜健康 2018/04/28 09:25:27 |
Introduction: 1. Highly contagious viral illness(airborne)傳染力極強(空氣傳播) 2. Only one serotype僅一種血清型，痊癒後終身免疫 3. 30yr or under 1yr 30歲左右以及小於一歲常見 4. Incubation period:7-18 days 潛伏期為7~18天 5. Later winter and spring 晚冬至春天易發 6. Communicability:±4 days after rash onset 初診前後四天為可傳染期
Clinical presentation: 1. High fever (with maculopapular) 高燒伴隨斑丘疹 2. Cough咳嗽 3. Runny nose 鼻炎 4. Conjunctivitis 結膜炎 5. Koplik spots(high specificity) :柯氏斑，自下臼齒內側出現(特異性高) 6. Measles rash(maculopapular):7days(自髮際線開始出疹，一路向下；7天後消退
Complications: 1. Otitis media(7.3%) 中耳炎 2. Pneumonia(5.9) 肺炎 3. Encephalitis 腦炎 1. Subacute sclerosing panencephalitis(SSPE)
Treatment and prevention: 1. MMR vaccine MMR疫苗的施打可預防 2. Supportive and symptomic therapy 以支持與症狀療法為主 Reference: 1.CDC, https://www.cdc.gov.tw/professional/info.aspx?treeid=10e4730dbc2eb10f&nowtreeid=07102a12fab0ba31&tid=34360331B175CCA9
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