探讨成人与幼儿麻疹患者的临床特征，分析麻疹生化学特点。

对97例成人麻疹与115例幼儿麻疹的一般情况、临床表现、并发症、实验室指标检查以及临床转归等进行了回顾性分析。

两组患者的性别、接触史以及发病季节差异均无统计学意义，两组患者高热（χ² = 7.786、P = 0.005）、卡他症状（χ² = 6.555、P = 0.010）、结膜充血（χ² = 5.988、P = 0.014）、Koplik’s斑（χ² = 4.940、P = 0.026）和腹泻（χ² = 9.741、P = 0.002）等差异具有统计学意义。幼儿麻疹患者并发支气管肺炎、心肌炎的几率高于成人麻疹患者（χ² = 5.078、P = 0.024，χ² = 5.888、P = 0.015），肝功能损伤、肠炎发生率低于成人患者（χ² = 9.237、P = 0.008，χ² = 9.741、P = 0.002）。实验室指标检测方面，幼儿麻疹患者肌酸激酶（CK）和α羟丁酸脱氢酶（HLDH）水平均高于成人患者（χ² = 5.888、P = 0.015，χ² = 4.234、P = 0.040），ALT低于成人患者（χ² = 9.237、P = 0.008），而两组患者AST水平差异无统计学意义（χ² = 3.235、P = 0.072）。

成人麻疹与幼儿麻疹具有各自的临床特点，AST不宜作为麻疹肝功能损伤的独立判定指标。

To analysis the characteristics of clinical and biochemical in adult and children measles.

To general situation, laboratory examination, clinical manifestations, complications, and clinical outcomes at adult and children’s measles were analyzed, retrospective.

There has no significant difference at gender, exposure history, onset season in two groups of patients. It had the statistical differences in the high fever (χ² = 7.786, P = 0.005), catarrh symptoms (χ² = 6.555, P = 0.010), conjunctival congestion (χ² = 5.988、P = 0.014), Koplik,s spot (χ² = 4.940, P = 0.026) and diarrhea (χ² = 9.741、P = 0.002). Children were higher than adults at bronchial pneumonia, myocarditis (χ² = 5.078, P = 0.024; χ² = 5.888, P = 0.015). Adults were higher than children in liver damage and enteritis (χ² = 9.237, P = 0.008; χ² = 9.741, P = 0.002). The levels of CK and HLDH in children patients were significantly higher than adults (χ² = 5.888, P = 0.015; χ² = 4.234, P = 0.040). The levels of ALT in children patients were significantly lower than adults (χ² = 9.237, P = 0.008) at laboratory tests. There was no difference in levels of AST of two groups (χ² = 3.235, P = 0.072).

It had different clinical characteristics at adult and children measles. AST was not diagnosed independent indicator in measles liver damage.