Khoo A, Ho C K, Ong T K, Khairul A
Biotechnology Centre, Institute for Medical Research, Kuala Lumpur, Malaysia.
Singapore Med J. 1994 Dec;35(6):595-8.
A descriptive study of 143 cases of clinically diagnosed measles in patients under the age of 12 years admitted to the Duchess of Kent Hospital, Sandakan, Sabah, during the year 1990 was carried out. The median age of the patients was one year and 13.3% of the cases were between the ages of 6 and 9 months. The male to female ratio was 1.3:1. The majority of the cases (85.3%) were not immunised against measles while 60.0% of the cases were malnourished. Most of the cases (86.0%) had at least one complication with 32.9% of the cases having more than one complications. The main complications were pneumonia (74.1%) and diarrhea (38.5%). Other complications were convulsions, otitis media and corneal ulceration/scarring. A case of pneumonia with mediastinal emphysema and subcutaneous emphysema was noted. The case fatality rate was 1.4% while blindness was the long term morbidity in 1.4% of the cases. Measles remains an important cause of morbidity in children in Sabah.
1990年，对山打根肯特公爵夫人医院收治的143例12岁以下临床诊断为麻疹的患者进行了描述性研究。患者的中位年龄为1岁，13.3%的病例年龄在6至9个月之间。男女比例为1.3:1。大多数病例（85.3%）未接种麻疹疫苗，60.0%的病例营养不良。大多数病例（86.0%）至少有一种并发症，32.9%的病例有不止一种并发症。主要并发症为肺炎（74.1%）和腹泻（38.5%）。其他并发症包括惊厥、中耳炎和角膜溃疡/瘢痕形成。记录到1例伴有纵隔气肿和皮下气肿的肺炎病例。病死率为1.4%，1.4%的病例出现失明这一远期发病情况。麻疹仍是沙巴州儿童发病的重要原因。
