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中华实验和临床感染病杂志(电子版) ›› 2025, Vol. 19 ›› Issue (02) : 65 -69. doi: 10.3877/cma.j.issn.1674-1358.2025.02.001

指南解读

《登革热诊疗方案(2024年版)》解读
李炜1, 蒋荣猛2,()   
  1. 1. 100015 北京,首都医科大学附属北京地坛医院肝病中心
    2. 100015 北京,首都医科大学附属北京地坛医院感染性疾病中心
  • 收稿日期:2025-01-18 出版日期:2025-04-15
  • 通信作者: 蒋荣猛
  • 基金资助:
    2024年首都卫生发展科研专项(No. 首发2024-1-2172)北京市高层次公共卫生技术人才建设项目学科带头人(No.2022-学科带头人-01-02)公共卫生人才培养支持项目

Interpretation of diagnosis and treatment scheme for dengue fever (2024 edition)

Wei Li1, Rongmeng Jiang2,()   

  1. 1. Department of Hepatology,Beijing Ditan Hospital,Capital Medical University, Beijing 100015, China
    2. Diagnosis and Treatment Center of Infectious Diseases, Beijing Ditan Hospital,Capital Medical University, Beijing 100015, China
  • Received:2025-01-18 Published:2025-04-15
  • Corresponding author: Rongmeng Jiang
引用本文:

李炜, 蒋荣猛. 《登革热诊疗方案(2024年版)》解读[J/OL]. 中华实验和临床感染病杂志(电子版), 2025, 19(02): 65-69.

Wei Li, Rongmeng Jiang. Interpretation of diagnosis and treatment scheme for dengue fever (2024 edition)[J/OL]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2025, 19(02): 65-69.

登革热是由登革病毒引起的一种急性虫媒传染病,其临床特征为突起发热、全身疼痛、皮疹、出血及白细胞减少等,重症患者多伴有多脏器严重损伤,甚至死亡。我国登革热疫情有向全国各地蔓延的趋势,部分内陆省份医师对登革热的早期诊断及重症救治经验不足。为进一步规范登革热临床诊疗工作,国家卫生健康委员会和国家中医药局在《登革热诊疗指南(2014年版)》(第2版)基础上,结合国内外研究进展和诊疗经验,制订了《登革热诊疗方案(2024年版)》。此版诊疗方案较2014版诊疗指南主要在发病机制、诊断标准、治疗原则等方面做了较多的更新,本文主要在上述方面进行解读,旨在提高医疗质量,降低重症率和病死率。

Dengue fever is an acute arbovirus-borne infectious disease caused by dengue virus. Its clinical characteristics include sudden fever, generalized pain, rash, hemorrhage and leukopenia. Severe cases often accompany severe multi-organ damage and even death. The dengue fever epidemic in China has a tendency to spread across the country, and some inland provinces have insufficient experience in early diagnosis and treatment of severe cases. To further standardize the clinical diagnosis and treatment of dengue fever, based on the “Guidelines for the diagnosis and treatment of dengue fever (2014 edition) (2nd edition)”,combined with domestic and international research progress and diagnostic and treatment experience, the“Diagnosis and treatment scheme for dengue fever (2024 edition)” was formulated by the National Health Commission (NHC) and the State Administration of Traditional Chinese Medicine. Based on this version of the diagnosis and treatment scheme, this article interprets the pathogenesis, diagnostic definition and treatment principles, with the aim of improving medical quality, reducing severe illness and mortality rates.

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