頁籤選單縮合
| 題 名 | 2014年臺灣登革死亡病例剖析=Fatal Cases in the 2014 Dengue Epidemic in Taiwan |
|---|---|
| 作 者 | 洪敏南; 陳瑞光; 許寶仁; 陳惇杰; 林俊祐; 陳垚生; 劉建衛; | 書刊名 | 疫情報導 |
| 卷 期 | 31:17 2015.09.08[民104.09.08] |
| 頁 次 | 頁419-430 |
| 分類號 | 412.4 |
| 關鍵詞 | 登革; 登革出血熱; 警示徵象; 休克; 血漿滲漏; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 登革感染是臺灣最重要的蟲媒傳播疾病,過去十年間,每年均在南臺灣造成規模大小不一的疫情,尤以2014年最嚴重。從2014年5月高雄前鎮出現首例本土登革病例以來,迄2015年2月底為止,高雄市共累積15,211病例,其中有134例登革出血熱與20例死亡。雖然登革感染尚無特定藥物可供治療,但適當的醫療處置的確有助減少死亡,也是登革大流行時必須加強的作為之一。 儘管2014年登革病例遠超過2002年的數目,但登革死亡數卻較少,雖然醫療處置可能已有改善,但仔細分析這些死亡個案,仍然可以發現值得學習之處。為了提昇醫療照護品質與獲取經驗,自2014年8月出現首起登革死亡病例後,疾病管制署與衛生局合作辦理2014年登革死亡病例討論會,邀集專家前往醫院與診治醫師討論臨床處置的可能陷阱,並審視臨床處理的過程是否完備,本文即是摘要其中六例病例討論結果。 |
| 英文摘要 | Dengue is the most important vector-borne infectious disease in Taiwan and always inflicts a significant health burden mainly on the population in southern Taiwan. The 2014 dengue epidemic, larger than ever before, started as early as May 2014 when the first case was noted in Cianjhen District, Kaohsiung. Up to 15,211 dengue cases from this dengue epidemic, including 134 dengue hemorrhagic fever cases and 20 fatalities, were reported by February 2015. Specific therapeutic agents for dengue are currently not available. Effective medical management has been, however, proven to increase survival among dengue patients, and thereby cannot be overemphasized. After the first two fatal dengue cases being reported in August 2014, Taiwan CDC and the Department of Health, Kaohsiung City Government co-organized mortality conferences in hospitals where fatal cases happened. Physicians with expertise in dengue medical management were invited to participate in these mortality conferences. This report summarizes and highlights the pitfalls for clinical management of dengue found from reviews and detailed discussions of fatal cases,serving as a reminder of how to avoid such pitfalls and underscoring the importance of effective medical management for dengue. |
本系統中英文摘要資訊取自各篇刊載內容。