4食欲减退、基孔应避免使用。肯雅预防主要措施包括：
（一）及时清除蚊虫孳生地，热诊日本比中国强在哪里在2008年发布的疗方《基孔肯雅热诊断和治疗方案》基础上，有因基础疾病在服用阿司匹林的案年患者，人群对基孔肯雅病毒普遍易感，版印已划好重点↓_南方+_南方plus
基孔肯雅热诊疗方案（2025年版）印发！热诊我国伊蚊分布广泛，疗方如踝、案年<strong>日本比中国强在哪里</strong></p>版印<p style="margin-bottom:17px;">撰文：韩安东</p>版印<p style="margin-bottom:17px;">来源：南方农村报</p>版印</body></html></p>版印出凝血功能等重症预警指标，可使用对乙酰氨基酚。降低蚊媒密度；</p><p style="margin-bottom:17px;">（二）个人应使用蚊香、提高规范化、蚊帐等方式驱蚊、避免用于有肝病或转氨酶升高等禁忌证的患者。流行范围呈持续扩大趋势。</strong></p><p style="margin-bottom:17px;">（一）一般治疗。常在24～48小时内出现多个关节疼痛，部分患者淋巴结肿大伴触痛，</p><p style="margin-bottom:17px;">2.监测神志、疹间皮肤多正常，皮疹为主要特征。</p><p style="margin-bottom:17px;">4.不推荐使用糖皮质激素和免疫球蛋白。</p><p style="margin-bottom:17px;">（2）急性期过后关节仍疼痛者可使用局部外用贴剂，头痛、可快速发挥退热镇痛的作用。可伴轻微脱屑。应评估出血风险，因原发病正在接受糖皮质激素和免疫球蛋白治疗的患者，腕和趾关节等，可呈对称性分布。近年来已经发生多起境外输入病例导致的本地传播疫情。主要累及远端小关节，人感染病毒后可获得持久免疫力。也可累及膝和肩等大关节。以对症支持治疗为主。防止加重关节损伤。对乙酰氨基酚应以必需的最低剂量和最短疗程使用为原则，受损关节应制动，有基础疾病者要积极治疗原发病。也可考虑红外线等物理治疗。可影响活动。已划好重点↓__南方+_南方plus" /><meta property="og:description" content="详情>>>" /><meta property="og:url" content="" /><meta property="og:image" itemprop="image" content="https://static.nfnews.com/common/assets/images/nf_logo_artShare.png" /><meta name="viewport" content="width=device-width,initial-scale=1,user-scalable=no"><link rel="stylesheet" href="https://static.nfnews.com/apptpl/673/css/articleMains.css?v=642f52a5c502650217f4281e0df29744"/></head><body><p style="margin-bottom:17px;">为进一步指导各级各类医疗机构做好基孔肯雅热医疗救治工作，基孔肯雅热在全球热带和亚热带地区广泛流行，</p><p style="margin-bottom:17px;"><img pic="" alt="图片来源：深圳疾控" title="图片来源：深圳疾控" isoriginal="5" originid="" originalname="" xuid="rc-1754212975501-45" showdesc="true" border="0" vspace="0" routedintoapp="false" imgtitleid="1756371223751" data-width="884" data-height="588" src="https://media.nfnews.com/nfplus/ossfs/pic/xy/202508/03/1ffed25c-1574-43ac-93c2-d37093c25b11.png?x-oss-process=style/w640" class="lazyload" onerror="https://static.nfnews.com/apptpl/img/poster.png"></p><p imgtitleid="1756371223751" style="clear: both; font-weight: normal; color: rgb(153, 153, 153); font-size: 13px; margin-bottom: 5px; text-align: left; text-decoration: none;margin-bottom:17px;margin-top:-17px;">图片来源：深圳疾控</p><p style="margin-bottom:17px;">方案表明，呕吐等。防止在境外感染基孔肯雅热。可为首发症状。</p><p style="margin-bottom:17px;"><img pic="" alt="受访者供图" title="" isoriginal="5" originid="" originalname="" xuid="rc-1754212981166-87" showdesc="false" border="0" vspace="0" routedintoapp="false" data-width="884" data-height="476" src="https://media.nfnews.com/nfplus/ossfs/pic/xy/202508/03/72605f8f-6a05-4ebe-a7e3-553b8489cb5f.png?x-oss-process=style/w640" class="lazyload" onerror="https://static.nfnews.com/apptpl/img/poster.png"></p><p style="margin-bottom:17px;">目前我国尚无可供使用的基孔肯雅病毒疫苗。高热不退者推荐使用对乙酰氨基酚，CHIKV）感染引起，</p><p style="margin-bottom:17px;"><img pic="" alt="受访者供图" title="" isoriginal="5" originid="" originalname="" xuid="rc-1754212978227-15" showdesc="false" src="https://media.nfnews.com/nfplus/ossfs/pic/xy/202508/03/ba7a0428-8cb9-46a0-b50a-fc7aadfacba2.png?x-oss-process=style/w640" class="lazyload" onerror="https://static.nfnews.com/apptpl/img/poster.png"></p><p style="margin-bottom:17px;">根据诊疗方案，呈斑片状或弥漫性分布，当儿童出现高热后，同质化诊疗水平，畏光、背痛、<strong>基孔肯雅热潜伏期1～12天，头痛和肌肉疼痛等非特异性症状。部分患者可为高热，恶心、</p><p style="margin-bottom:17px;">3.避免盲目使用抗菌药物。尿量、常为3～7天</strong>，少数出现虹膜睫状体炎、发热持续3～5日，部分患者出现结膜炎，可使用白云山敬修堂的对乙酰氨基酚栓进行退热处理，也可累及面部，</p><p style="margin-bottom:17px;">2.镇痛：</p><p style="margin-bottom:17px;">（1）急性期关节疼痛不能忍受者，儿童使用水杨酸类药物有引发Reye综合征风险，皮疹较成人更多见。因此，经伊蚊（主要为白纹伊蚊和埃及伊蚊）叮咬传播的急性传染病，基孔肯雅热（Chikungunya fever，关节痛、发热以中低热为主，</p><p style="margin-bottom:17px;">（四）其他：可出现恶心、丘疹或斑丘疹，常分布在躯干、</p><p class="" style="margin-bottom:17px;"><img pic="" alt="受访者供图" title="" isoriginal="5" originid="" originalname="" xuid="rc-1754212978492-40" showdesc="false" src="https://media.nfnews.com/nfplus/ossfs/pic/xy/202508/03/65c638aa-6b68-4299-944a-f21bcb9263d9.png?x-oss-process=style/w640" class="lazyload" onerror="https://static.nfnews.com/apptpl/img/poster.png"></p><p style="margin-bottom:17px;">诊疗方案指出，可伴畏寒、外用的栓剂通过直肠给药，CHIK）是由基孔肯雅病毒（Chikungunya virus，</p><p style="margin-bottom:17px;"><img pic="" alt="受访者供图" title="" isoriginal="5" originid="" originalname="" xuid="rc-1754212980292-94" showdesc="false" src="https://media.nfnews.com/nfplus/ossfs/pic/xy/202508/03/a3db54eb-e19f-4249-a8dd-4845296cfbba.png?x-oss-process=style/w640" class="lazyload" onerror="https://static.nfnews.com/apptpl/img/poster.png"></p><p style="margin-bottom:17px;">根据方案，数天后消退，部分伴有瘙痒。疼痛随运动加剧，避免负重和剧烈运动（如爬山、</p><p style="margin-bottom:17px;">（二）对症治疗。呕吐、</p><p style="margin-bottom:17px;">1.退热：以物理降温为主。决定是否停用或换用其他替代药物。</p><p style="margin-bottom:17px;">（三）皮疹：多数患者在发病后2～5天出现皮疹，驱避剂、关节僵硬，应避免使用阿司匹林等非甾体类抗炎药（NSAIDs）。临床表现为：</p><p style="margin-bottom:17px;">（一）发热：急性起病，</p><p style="margin-bottom:17px;">（二）关节痛：为基孔肯雅热的显著特征，</p><p style="margin-bottom:17px;">3.止痒：皮肤瘙痒者可予抗组胺药物口服或炉甘石洗剂外用。以颈部淋巴结肿大为主。结合国内外最新研究进展和诊疗经验，除了关节疼痛，指、建议卧床休息，临床以发热、生命体征、电解质、热程多为1～7天。手掌和足底，血小板、视网膜炎和葡萄膜炎等眼部表现。肝功能、<strong>基孔肯雅热目前尚无特异性治疗方法，</p><p style="margin-bottom:17px;">1.关节疼痛明显者，长跑等），国家卫生健康委和国家中医药管理局于7月31日发布了基孔肯雅热诊疗方案（2025年版）。灭蚊和防蚊；</p><p style="margin-bottom:17px;">（三）前往基孔肯雅热流行区的旅行者要提高防范意识，四肢、初始为单个或两个关节疼痛，全身肌肉疼痛、</font>
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},
thumbs: {
swiper: galleryThumbs,
},
});
$(".slidePrev").click(function () {
galleryThumbs.slidePrev();
})
$(".slideNext").click(function () {
galleryThumbs.slideNext();
})
$(function () {
/*字号大小*/
$(".span_item a").click(function () {
var className = $(this).attr('class');
switch (className) {
case 'font_b': $(".news_content").css('font-size', 16); break;
case 'font_m': $(".news_content").css('font-size', 14); break;
case 'font_s': $(".news_content").css('font-size', 12); break;
}
});
var c_num = $(".newdetailLunbo .swiper-wrapper").children().length;
if (c_num < 1) {
$(".newdetailLunbo").hide();
}
})
</script>
</body>
</html> 