清迈登革热:症状、就医与预防

高烧超过2天就要尽快看医生,只能吃扑热息痛,绝不能用NSAIDs。要留意退烧那天:重症表现通常就在这时出现,约24到48小时的危险期。在清迈,病例5月到10月最多。

阅读英文版 (Read this guide in English)

本页目录
  1. 登革热有多常见,什么时候高发
  2. 症状与发烧过程
  3. 什么时候去医院
  4. 发烧吃什么药
  5. 预防:蚊子、积水和驱蚊剂
  6. 清迈兰医院
  7. 清迈曼谷医院
  8. Maharaj Nakorn清迈医院
  9. 相关指南
  10. 步骤
  11. 常见问题

如果高烧超过2天,要尽快看医生,并且只吃扑热息痛。大家容易忽略的是退烧那天:重症表现往往就在你开始觉得好转时出现。

登革热有多常见,什么时候高发

泰国今年约有25,000例登革热、39人死亡,比去年低很多,但仍在上升。南部最严重,沙敦、普吉、那空那育、拉廊和董里居前。

今年没有公布清迈的病例数。想知道某个府的病例数,可拨打疾病控制厅热线1422。

清迈的登革热季

病例在雨季中和雨季之后上升。清迈的数据显示5月到10月是风险最高的月份,2月到5月最低。病例数与降雨和湿度相关,与气温无关。

症状与发烧过程

登革热一开始是突然高烧、头痛、全身酸痛、眼球后疼痛、恶心、呕吐、剧烈腹痛、没胃口或身上起红疹。发烧约持续2到7天。

血小板低会容易出血,比如牙龈或鼻子出血。头几天验血可能显示正常或只有轻微异常,而且四分之三的感染者完全没有症状。

什么时候去医院

高烧超过2天(从第一天算起)就要去。如果烧不退、呕吐加重、牙龈出血、皮肤出现出血点或人变得嗜睡,要更早去。

在清迈做检测

清迈一家私家实验室提供350泰铢的登革热套餐,30分钟出结果。套餐含三项检测:NS1查病毒本身,适用于头1到3天;IgG/IgM查抗体,第3到5天起可查;血常规查血小板。Mahidol路分店每天07:00到20:00营业。如果才发烧一两天,要求做NS1。

退烧那天

这是危险时刻。烧退了,你以为自己好了就不去看医生,但重症表现通常就在这时出现。呕吐和腹痛可能持续,危险期大多持续约24到48小时。早发现、正确治疗能把病死率从10%降到1%。

哪些人风险更高

死亡的主要风险因素是肥胖、基础疾病、延误治疗和服用NSAIDs。病死率最高的是60岁及以上人群和40到49岁人群。

紧急情况

拨打1669。医院联系方式在本页末尾。

发烧吃什么药

只吃扑热息痛。避免双氯芬酸、布洛芬和阿司匹林这类NSAIDs,以及任何刺激胃的止痛消炎药。泰国FDA的资料把NSAIDs这一类称为“危险药物”,须由医生或药剂师开具。我们的药店指南讲了在柜台该问什么。

预防:蚊子、积水和驱蚊剂

埃及伊蚊在白天咬人,日出后2小时咬得最多;雨季蚊虫增多时,病例会大幅上升。

一只腹部饱满带血的条纹埃及伊蚊停在人皮肤上的特写。
埃及伊蚊,传播登革热的蚊种。
  • 把装水的容器盖严,放入灭蚊幼虫沙,把不用的积水容器倒扣,清理家周围的垃圾。
  • 在裸露皮肤上涂浓度20-50%的DEET或5-20%的派卡瑞丁。

疫苗

疫苗可能降低重症风险,打之前应先咨询医生。它不在国家免疫规划内,但部分诊所和医院提供。

现有的是Qdenga:共2剂,间隔3个月,适用于4到60岁,无论是否得过登革热。孕妇和哺乳期女性不应接种。

  • Lanna医院的网店卖Qdenga,1剂2,600泰铢,适用于4到60岁。问清价格包含什么。
  • 清迈兰医院的网店标价1针2,800泰铢,2针5,500泰铢。
  • CM Mediclinic提供Qdenga,共2剂,间隔3个月。价格向诊所询问。

清迈兰医院

8 Boonruangrit Road, Si Phum, Mueang, Chiang Mai 50200,电话052-004699。急诊电话:052-004601。

Chiangmai Ram Hospital
8 Bunrueang Rit Rd, Si Phum, Mueang Chiang Mai District, Chiang Mai 50200, Thailand · 在 Google 地图中打开 (在新标签页中打开)
清迈兰医院正面,白色建筑,一排停着的摩托车上方是蓝底泰英文院名招牌。
清迈兰医院的临街一面。

清迈曼谷医院

88/8-9 Moo 6, Nong Pa Khrang, Mueang Chiang Mai, Chiang Mai 50000。电话是1719,仅限本地拨打。卓越创伤中心24小时开放,电话+66 (0)52 089 888。

Bangkok Hospital Chiang Mai
88/8-9 Lampang - Chiang Mai Superhighway, Tambon Nong Pa Khrang, Mueang Chiang Mai District, Chiang Mai 50000, Thailand · 在 Google 地图中打开 (在新标签页中打开)
医院大堂,木质墙板,抛光地面上摆着米色沙发,暖色顶灯下有一根高柱。
清迈曼谷医院的大堂。

Maharaj Nakorn清迈医院

110 Inthawarorot Rd., Sri Phum, Mueang Chiang Mai District, Chiang Mai 50200。急诊室24小时开放,急救电话是+6653-938-777。

Maharaj Nakorn Chiang Mai Hospital
110 Intrawarorot Rd, Si Phum, Mueang Chiang Mai District, Chiang Mai 50200, Thailand · 在 Google 地图中打开 (在新标签页中打开)
医院大楼前有一座小型兰纳风格凉亭,较近那栋楼正面写着Trauma Center的标牌。
Maharaj Nakorn医院的创伤中心楼。
图片 (4)

↑ 本页目录

英文指南中的图表

图表中的文字为英文。

Dengue in Thailand, 2026: DDC counts National figures only; no Chiang Mai count was found CUMULATIVE CASES AND DEATHS 1 January to 22 July 2026 16,094 cases, 26 deaths DDC briefing of 15 September 2026 25,026 cases, 39 deaths FATALITY RATE TO 22 JULY 0.16 percent Highest in people aged 60 and over and in those aged 40 to 49. AGAINST LAST YEAR 1.8 times lower Still trending up. ChiangMaiJao.com · Sources: DDC press release 27 Jul 2569 (2026); DDC briefing 15 Sep 2569 (2026) Verified 13 Oct 2026 · Re-checked every 3 months Dengue in Thailand, 2026: DDC counts National figures only; no Chiang Mai count was found CUMULATIVE CASES AND DEATHS 1 January to 22 July 2026 16,094 cases, 26 deaths DDC briefing of 15 September 2026 25,026 cases, 39 deaths FATALITY RATE TO 22 JULY 0.16 percent Highest in people aged 60 and over and in those aged 40 to 49. AGAINST LAST YEAR 1.8 times lower Still trending up. ChiangMaiJao.com · Sources: DDC press release 27 Jul 2569 (2026); DDC briefing 15 Sep 2569 (2026) Verified 13 Oct 2026 · Re-checked every 3 months
Dengue counts for Thailand in 2026 from the DDC releases; no Chiang Mai count was found.
放大图表
Dengue warning signs: when to see a doctor Department of Disease Control, 27 July 2026 and the DDC dengue note of 2020 HIGH FEVER More than 2 days See a doctor promptly and avoid NSAIDs. FEVER FALLS Critical phase Mostly lasts 24 to 48 hours after the fever falls. SEE A DOCTOR PROMPTLY IF Fever does not go down Take paracetamol only Vomiting increases Vomiting and abdominal pain continue as the fever falls Gums bleed or skin spots appear Bleeding is easy when platelets are low Drowsiness Listed with the signs above ChiangMaiJao.com · Sources: DDC press release 27 Jul 2569 (2026); DDC dengue note 3 Dec 2563 (2020) Verified 13 Oct 2026 · Re-checked every 3 months Dengue warning signs: when to see a doctor Department of Disease Control, 27 July 2026 and the DDC dengue note of 2020 HIGH FEVER More than 2 days See a doctor promptly and avoid NSAIDs. FEVER FALLS Critical phase Mostly lasts 24 to 48 hours after the fever falls. SEE A DOCTOR PROMPTLY IF Fever does not go down Take paracetamol only Vomiting increases Vomiting and abdominal pain continue as the fever falls Gums bleed or skin spots appear Bleeding is easy when platelets are low Drowsiness Listed with the signs above ChiangMaiJao.com · Sources: DDC press release 27 Jul 2569 (2026); DDC dengue note 3 Dec 2563 (2020) Verified 13 Oct 2026 · Re-checked every 3 months
Dengue warning signs from the DDC release and the DDC dengue note.
放大图表

步骤

  1. 发烧吃扑热息痛只吃扑热息痛,避免双氯芬酸、布洛芬和阿司匹林这类NSAIDs。
  2. 超过2天就看医生高烧超过2天需要尽快就医。
  3. 留意退烧那天重症表现通常在退烧时出现,危险期约24到48小时。
  4. 出现危险信号要尽快就医如果烧不退、呕吐加重、牙龈出血、出现出血点或人变得嗜睡,要尽快看医生。
  5. 清除家里的蚊子滋生地把装水的容器盖严,放入灭蚊幼虫沙,把不用的积水容器倒扣,清理家周围的垃圾。

未确认: 没有找到2026年清迈的登革热病例数,疾控厅公布的是全国数据。可拨打疾控厅热线1422。没有找到医院登革热检测的价格表,下面的是私家实验室的价格。清迈曼谷医院和Maharaj Nakorn医院是否有登革热疫苗,尚不清楚。

评论 (8)

  1. meowflatbread

    Just survived severe Dengue My husband and I are on our honey moon right now in Thailand. I got bit in Bangkok and when I was in Chiang Mai started getting hit with the symptoms. I thought it was the flu because it started with chills, body aches, head pain, and a fever. But the fever kept coming back after 4 days so I got nervous. We went to the doctor in Pai and I was positive for dengue with a blood palette count of 84,000. I have never been this sick in my entire life. I had no appetite, no energy, and my head felt like I was repetitively getting stabbed. Rashes started to fill my body and I couldn’t recognize myself in the mirror. After two days of no improvement I went to the doctor in Chang Mai and my blood count was 60,000. They told me to come back the next day. I was vomiting all that night. The next day I was hospitalized. I got diagnosed with dengue induced severe hepatitis. I have sever liver damage. Thankfully after 8 long terrible days I am on the road to recovery but I want to warn you guys in Thailand right now to WEAR REPELLENT WITH DEET!! We wore the pink 7-11 repellent religiously and it did nothing. Be careful and protect yourself because it is very real and super scary.

    1. Ascended_One

      Thank you for writing this; reading your story (and the comments underneath) has prompted me to check what my repellent was and it turned out to be one of the natural pink ones that apparently don't do much I went to a pharmacy and bough some good 50% DEET stuff right away Anyway I hope you'll get better soon!

  2. GTanno

    Is dengue fever an issue in Chiang Mai I contracted dengue fever on a trip to Bangkok and southern Thailand last October. I love the country and want to return in February. This time to Chiang Mai to ride the mai hong son loop Ina motorcycle I am terrified that I might contract dengue again. I believe it can be much worse second time round and sometimes even fatal. I will take all precautions with clothing and repellents etc. I am also investigating getting a dengue vaccine but it is not generally available here in Australia. Is it an issue in the north. Any advice appreciated

    5 条回复
    1. sbrider11

      Dengue fever is a concern in Chiang Mai, especially during the rainy season.

    2. DarjeelingTease

      Yes. It's a problem. Wear DEET-based mosquito repellent, especially at dawn or dusk, or when near bodies of standing water. I've had it before, and it's not something to fuck with.

    3. surfpkt

      There is now a very effective dengue vaccine…QDengue. It was developed in Thailand and is manufactured by Takeda….a Japanese pharmaceutical company. It takes 2 shots….spaced 3 months apart. After I got my first shot….the doctor told me that I would be highly protected. If I were to get dengue before I got my second shot, I would only feel like I had a mild flu for a couple of days. After receiving the second shot…. I would be more than 90% protected.

    4. CarryOnRTW

      Dengvaxia, yes. > Dengvaxia is only recommended in those who have previously had dengue fever or populations in which most people have been previously infected due to a phenomenon known as antibody-dependent enhancement.[13] The value of Dengvaxia is limited by the fact that it may increase the risk of severe dengue in those who have not previously been infected. Qdenga, no. > Qdenga is designated for people not previously infected. https://en.wikipedia.org/wiki/Dengue_vaccine

    5. CarryOnRTW

      We are lucky to have so many relatively cheap places to get it in Chiang Mai. We got it at Chiang Mai Ram hospital.

常见问题

清迈有多少登革热病例?

今年没有公布清迈的病例数。泰国全国约有25,000例。

发烧到什么时候该看医生?

高烧超过2天之后。

登革热发烧能吃布洛芬吗?

不能。只能吃扑热息痛,避免双氯芬酸、布洛芬和阿司匹林这类NSAIDs。

为什么退烧那天有风险?

重症表现通常出现在退烧时,人会以为自己好了,就不去看医生。危险期大多持续约24到48小时。

登革热由哪种蚊子传播,什么时候咬人?

埃及伊蚊在白天咬人,日出后2小时咬得最多。

有登革热疫苗吗?清迈哪里能打?

有,Qdenga:共2剂,间隔3个月,适用于4到60岁。它不在国家免疫规划内,但部分诊所和医院提供。Lanna医院的网店标1剂2,600泰铢;CM Mediclinic提供,但没有标价。

清迈的登革热季是什么时候?

5月到10月是风险最高的时段,2月到5月最低。

清迈做一次登革热检测多少钱?

一家私家实验室的登革热套餐标价350泰铢,30分钟出结果。包含NS1检测,适用于感染后头1到3天。

感染登革热的人大多有症状吗?

没有:四分之三的感染者通常没有症状。

泰国哪些人死于登革热?

病死率为0.16%,最高的是60岁及以上人群和40到49岁人群。

本文是依据上述来源核实的一般信息,不构成针对你个人情况的法律意见。价格、规定和营业时间可能变化,请到现场再确认一次。指南的核实方式见: How we check (英文)。

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