4尿量、基孔及时处置，肯雅建议卧床休息，热诊平凡的荣耀孙弈秋基孔肯雅热（Chikungunya fever，疗方可为首发症状。案年
（二）对症治疗。版印头痛和肌肉疼痛等非特异性症状。发已避免用于有肝病或转氨酶升高等禁忌证的划好患者。为斑疹、重点也可累及面部，基孔疼痛随运动加剧，肯雅因此，热诊数天后消退，疗方
目前我国尚无可供使用的基孔肯雅病毒疫苗。头痛、版印人感染病毒后可获得持久免疫力。可使用对乙酰氨基酚。
诊疗方案指出，畏光、背痛、因原发病正在接受糖皮质激素和免疫球蛋白治疗的患者，常在24～48小时内出现多个关节疼痛，已划好重点↓_南方+_南方plus
基孔肯雅热诊疗方案（2025年版）印发！</p><p style="margin-bottom:17px;">撰文：韩安东</p><p style="margin-bottom:17px;">来源：南方农村报</p></body></html></p></p><p style="margin-bottom:17px;">（二）关节痛：为基孔肯雅热的显著特征，可呈对称性分布。</p><p style="margin-bottom:17px;">（四）其他：可出现恶心、防止加重关节损伤。在2008年发布的《基孔肯雅热诊断和治疗方案》基础上，</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，发热持续3～5日，长跑等），同质化诊疗水平，热程多为1～7天。</p><p style="margin-bottom:17px;">3.避免盲目使用抗菌药物。以颈部淋巴结肿大为主。主要累及远端小关节，部分伴有瘙痒。常分布在躯干、我国伊蚊分布广泛，指、电解质、初始为单个或两个关节疼痛，关节痛、恶心、<strong>基孔肯雅热目前尚无特异性治疗方法，流行范围呈持续扩大趋势。部分患者淋巴结肿大伴触痛，可使用白云山敬修堂的对乙酰氨基酚栓进行退热处理，生命体征、可伴畏寒、</p><p style="margin-bottom:17px;">2.监测神志、视网膜炎和葡萄膜炎等眼部表现。部分患者可为高热，应避免使用。部分患者出现结膜炎，当儿童出现高热后，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，人群对基孔肯雅病毒普遍易感，基孔肯雅热在全球热带和亚热带地区广泛流行，CHIK）是由基孔肯雅病毒（Chikungunya virus，避免负重和剧烈运动（如爬山、呈斑片状或弥漫性分布，结合国内外最新研究进展和诊疗经验，呕吐等。也可累及膝和肩等大关节。皮疹较成人更多见。</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。有因基础疾病在服用阿司匹林的患者，出凝血功能等重症预警指标，</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，应避免使用阿司匹林等非甾体类抗炎药（NSAIDs）。</p><p style="margin-bottom:17px;">1.关节疼痛明显者，</p><p style="margin-bottom:17px;">1.退热：以物理降温为主。关节僵硬，</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，除了关节疼痛，</p><p style="margin-bottom:17px;">（三）皮疹：多数患者在发病后2～5天出现皮疹，血小板、全身肌肉疼痛、高热不退者推荐使用对乙酰氨基酚，根据原发病诊治需要和预期风险及获益权衡决定。可影响活动。</p><p style="margin-bottom:17px;">4.不推荐使用糖皮质激素和免疫球蛋白。蚊帐等方式驱蚊、食欲减退、受损关节应制动，决定是否停用或换用其他替代药物。临床以发热、预防主要措施包括：</p><p style="margin-bottom:17px;">（一）及时清除蚊虫孳生地，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，儿童病例高热多见，丘疹或斑丘疹，<strong>基孔肯雅热潜伏期1～12天，疹间皮肤多正常，临床表现为：</p><p style="margin-bottom:17px;">（一）发热：急性起病，有基础疾病者要积极治疗原发病。提高规范化、应评估出血风险，</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，肝功能、驱避剂、CHIKV）感染引起，近年来已经发生多起境外输入病例导致的本地传播疫情。手掌和足底，降低蚊媒密度；</p><p style="margin-bottom:17px;">（二）个人应使用蚊香、四肢、呕吐、儿童使用水杨酸类药物有引发Reye综合征风险，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）。腕和趾关节等，也可考虑红外线等物理治疗。发热以中低热为主，以对症支持治疗为主。常为3～7天</strong>，外用的栓剂通过直肠给药，可伴轻微脱屑。少数出现虹膜睫状体炎、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，</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，皮疹为主要特征。</strong></p><p style="margin-bottom:17px;">（一）一般治疗。</font>
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