• 重症基孔肯雅热诊治专家共识
  • 陈广.重症基孔肯雅热诊治专家共识[J].内科急危重症杂志,2025,31(5):385-394
    DOI:10.11768/nkjwzzzz20250501
    中文关键词:  基孔肯雅热  重症  诊断  治疗  专家共识
    英文关键词:
    基金项目:湖北省中央引导地方科技发展专项(2024CSA064)
    作者单位E-mail
    陈广 华中科技大学同济医学院附属同济医院 qning@vip.sina.com 
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    中文摘要:
          摘要 随着国际交流的日益频繁和气候环境的变迁,我国基孔肯雅热(CHIK)输入性病例持续增加。当前我国CHIK以轻症为主,但输入疫情在我国免疫空白人群中,存在暴发流行及出现重症病例风险。为规范重症CHIK早期识别与救治,人畜共患传染病重症诊治全国重点实验室、国家重大公共卫生事件医学中心牵头组织专家,系统总结国内外CHIK基础、临床与流行病学研究,结合临床一线重症传染病救治经验,讨论并形成本共识,旨在建立CHIK的快速诊断、重症预警和规范治疗的标准化流程,提升基层医疗机构应对能力,为疫情防控提供技术支持。
    英文摘要:
          Abstract With frequent international exchanges and changing climatic conditions, the number of imported cases of Chikungunya fever (CHIK) in China continues to rise. While current CHIK cases in China are predominantly mild, imported outbreaks carry a risk of local transmission and severe disease progression in immunologically nave populations. To standardize the early identification and management of severe CHIK, the National Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases and the National Medical Center for Major Public Health Events spearheaded an expert consensus. This consensus synthesizes global research on CHIK (covering fundamental, clinical, and epidemiological studies) and integrates frontline clinical experience in managing severe infectious diseases. It aims to establish standardized protocols for rapid diagnosis, early warning of severe cases, and evidence-based treatment. The goal is to enhance the preparedness of primary healthcare institutions and provide technical support for epidemic control.