Martínez-Torres E
Hospital Pediátrico William Soler, Habana, Cuba.
Salud Publica Mex. 1995;37 Suppl:S29-44.
Dengue is a viral disease with clinical features that vary in intensity according to certain host and viral strain characteristics. Dengue hemorrhagic fever is practically a new clinical entity for the majority of physicians in the Americas and therefore the need to disseminate the most important clinical and epidemiological features that allow for the opportune diagnosis and therapy. The clinical spectrum of the disease includes asymptomatic to severe hemorrhagic forms and each stage has its own signs and symptoms. This clinical description explores the physiological mechanisms involved in the pathogenesis of dengue hemorrhagic fever. This paper gives special emphasis to the alarm signs that foretell the presentation of the shock syndrome requiring emergency treatment and advances a classification scheme for epidemics. This scheme identifies the type of treatment and which patients need observation, laboratory tests and hospital care.
登革热是一种病毒性疾病，其临床特征会根据某些宿主和病毒株的特性而在严重程度上有所不同。对于美洲的大多数医生来说，登革出血热实际上是一种新的临床病症，因此有必要传播那些有助于及时诊断和治疗的最重要的临床和流行病学特征。该疾病的临床谱包括从无症状到严重出血形式，且每个阶段都有其自身的体征和症状。本临床描述探讨了登革出血热发病机制中涉及的生理机制。本文特别强调了预示休克综合征出现需要紧急治疗的警示体征，并提出了一种疫情分类方案。该方案确定了治疗类型以及哪些患者需要观察、实验室检查和住院治疗。
