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克里米亚-刚果出血热患者的病例管理和支持性治疗。

Case management and supportive treatment for patients with Crimean-Congo hemorrhagic fever.

机构信息

Department of Infectious Diseases and Clinical Microbiology, Ondokuz Mayis University Medical School, Samsun, Turkey.

出版信息

Vector Borne Zoonotic Dis. 2012 Sep;12(9):805-11. doi: 10.1089/vbz.2011.0896. Epub 2012 May 18.

Abstract

Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne infection which has been increasing in Turkey and European countries since the year 2000. The disease is particularly endemic in the Middle East and in some African countries. It is also seen in European countries as a travel infection. Patients with confirmed diagnosis are usually hospitalized for monitoring, while patients with good overall condition may be monitored on an outpatient basis. Hospitals that manage CCHF should have easy access to a blood bank, and tertiary care hospitals must have a well-equipped intensive care unit. Strict blood and body fluid control precautions should be started on admission to limit CCHF exposure. The follow-up period for each patient is determined based on individual clinical status and laboratory values. Since there is no specific antiviral treatment for CCHF, supportive treatment is essential. This review highlights some of the major features of case monitoring and supportive treatment in CCHF.

摘要

克里米亚-刚果出血热(CCHF)是一种蜱媒感染,自 2000 年以来在土耳其和欧洲国家不断增加。该疾病在中东和一些非洲国家特别流行。它也被视为欧洲国家的一种旅行感染。确诊的患者通常需要住院监测,而整体状况良好的患者可能可以门诊监测。管理 CCHF 的医院应该可以方便地获得血库,三级医院必须配备设备齐全的重症监护病房。应在入院时开始采取严格的血液和体液控制预防措施,以限制 CCHF 的暴露。每位患者的随访时间根据个体临床状况和实验室值确定。由于 CCHF 没有特定的抗病毒治疗方法,因此支持性治疗至关重要。本综述重点介绍了 CCHF 病例监测和支持性治疗的一些主要特征。

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