BMJ Best Practice
最后审核时间： 六月 2019
最近更新时间： 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 可能与麻疹患者有接触
  • 未接种或疫苗接种失败
  • 发热
  • 咳嗽
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危险因素

  • 暴露于麻疹病毒
  • 无前期麻疹免疫接种
  • 对麻疹疫苗无反应
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诊断性检查

首要检查

  • 血清学麻疹特异性IgM和IgG（ELISA）检测
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需要考虑的检查

  • 急性期和恢复期检测血清麻疹特异性IgG和IgM
  • 通过 PCR 检测麻疹 RNA
  • 荧光抗体法或PCR技术检测抗原
  • 从组织培养体系中分离病毒
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治疗流程

急性

所有患者

贡献者

Professor of Pediatrics

Boston University School of Medicine

Boston Medical Center

Boston

MA

利益冲突披露
EB has received grant funding to her institution for participation in clinical trials for PaxVax oral cholera vaccine. She has received royalties for writing for UptoDate (evaluation of newly arrived immigrants), AAP (parasitic disease treatment), and Elsevier (Immigrant Medicine). EB has received honoraria for consultancy for HostTherabiomics (travellers' diarrhoea), for speaking for Spire Learning (diarrhea), and for other CME talks (diarrhoea, vaccines).

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Associate Professor of Pediatrics

West Virginia University School of Medicine

Morgantown

WV

利益冲突披露
LN is an author of a reference cited in this topic.

Assistant Professor of Medicine

Associate Residency Program Director

University of Chicago

Chicago

IL

利益冲突披露
AS declares that she has no competing interests.

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