埃博拉病毒病死亡病例2例临床分析

【摘要】 2014年在西非爆发了迄今为止历史上最大的一次埃博拉病毒病流行。中国人民解放军第二批援利抗埃医疗队于2015年初抵达利比里亚，历时两月，共收治5例埃博拉确诊病例，死亡两例。病例1为年轻女性，表现为发热、乏力、纳差、腹泻、出血等症状，入院后迅速死，死亡后口腔分泌物检测确诊为埃博拉病毒病。病例2为老年男性，主要表现为发热、乏力、肌肉酸痛、纳差、剧烈腹泻，治疗过程中血液病毒载量居高不下。最终两例患者均死于低容量性休克。我们认为，接触者追踪隔离、感染者的早期诊治、以及为感染者提供基本医疗护理是人类战胜埃博拉的基本保障。

Clinical analysis of two death cases with confirmed Ebola virus disease

The largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa in 2014. The second medical team of PLA to Africa arrived in Liberia at the beginning of 2015 and stayed there for two months. We received 5 confirmed EVD cases with 2 died. Case 1 was a young female patient and carried clinical manifestations of febrile, fatigue, poor appetite, diarrhea and hemorrhage. She died soon after admission and was confirmed positive results of Ebola virus (EOV) by swab. Case 2, an old male patient, presented to China ETU with symptoms of febrile, myalgia, anorexia and severe diarrhea. The viral load in blood remained high during the course of illness. Both patients died from hypovolemic shock. We considered that tracing contacts, early diagnosis and treatment of Ebola cases, and providing basic health care services for the populations in most severely affected areas are the basic tasks that must be performed if the battle against Ebola is to be won.