Halstead Scott B, Lum Lucy Cs
F1000 Med Rep. 2009 Sep 28;1:73. doi: 10.3410/M1-73.
Dengue infections pose a huge burden to health care providers in most tropical countries. Careful clinical examination and history-taking supplemented by newer rapid diagnostic tests may lead to early etiological diagnosis. For severe dengue, early recognition of vascular permeability followed by rapid physiological replacement of fluids is life-saving. Prognosis of patients depends upon optimum management, an outcome that requires preparation via organization, training, and use of evidence-based practice guidelines.
登革热感染给大多数热带国家的医疗服务提供者带来了巨大负担。仔细的临床检查和病史采集,辅以更新的快速诊断测试,可能会实现早期病因诊断。对于重症登革热,早期识别血管通透性,随后迅速进行生理性液体补充可挽救生命。患者的预后取决于最佳管理,而这一结果需要通过组织、培训和使用循证实践指南来做好准备。