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致命的埃博拉病毒——会降临到你身边的医院吗?
原作者: Jon Mark Hirshon,于璐 文章来源: 《中华急诊医学杂志》编辑部 发布日期:2014-09-11

Title: Deadly Ebola- Coming to a hospital near you?
标题:致命的埃博拉病毒——会降临到你身边的医院吗?
Author 作者: Jon Mark Hirshon
翻译 :于璐 何磊磊 校对: 陈都 肖锋

General Information 一般信息:
Ebola is a deadly hemorrhagic fever of the virus family Filoviridae.
埃博拉病毒是丝状病毒科(Filoviridae)家族的一种致命出血热病毒。
The largest outbreak known is currently affecting multiple countries in West Africa (especially Guinea, Liberia and Sierra Leone).
目前已知的最大的疫情影响多个西非国家(特别是几内亚、利比里亚和塞拉利昂)。
As of July 23rd, the WHO has recorded a total of 1,201 cases and 672 deaths (case fatality rate of 56%).
截止7月23日,世界卫生组织共记载了1201病例和其中死亡672人 (其中病死率56%)。
Clinical Information 临床资料:
Spread by close contact (direct contact with body fluids)
通过密切接触传播(直接接触体液)。
Primarily seen in family members of those infected and health care workers
主要发生在感染者家属和医护人员。
Incubation is usually from 8-10 days (can be from 2-21 days)
潜伏期时间通常是8 - 10天(可以从2-21天)。
Typical signs and symptoms include: fever, headaches, muscle/joint aches, abdominal pain, vomiting, diarrhea
典型的体征和症状包括: 发热、头痛、肌肉或关节痛、腹痛、呕吐、腹泻
Additionally, some patients may experience: rash, red eyes, chest pain, difficulty breathing, difficulty swallowing, bleeding from multiple areas.
另外, 患者多可能会伴有:皮疹、眼睛发红、胸痛、呼吸困难、吞咽困难、出血症状
Treatment and Public Health 治疗和公共卫生注意事项:
Supportive care and treatment of complications
•支持性护理和并发症治疗
Contact isolation
•接触隔离
Immediately report to the local health authorities
•立即向当地卫生部门报告
Bottom Line 要点:
While the likelihood of general dissemination to the general U.S. population is very low, U.S. healthcare workers need to be aware and alert for the signs and symptoms of Ebola for patients recently returned from West Africa.
虽然由一般途径传播到普通美国人的可能性非常低,美国卫生保健工作者需要注意和警惕最近从西非回来的有埃博拉症状和体征的患者。
References参考文献:
References: http://www.cdc.gov/ebola
Current CDC advisory: http://emergency.cdc.gov/han/han00363.asp
 

文章来源:《中华急诊医学杂志》编辑部