论文部分内容阅读
1992~1994年山东省通过急性弛缓性麻痹(AFP)病例监测系统共报告28例注射麻痹,估计15岁以下儿童年发生率为0.05/10万~0.06/10万。注射麻痹的发生原因,多为患儿发热接受药物臀部肌肉注射而操作不当,钉头误伤坐骨神经。在农村卫生室注射引起者占85.8%。由于注射麻痹临床表现属典型的AFP,在发病初期临床上难以与脊髓灰质炎(脊灰)鉴别,故从消灭脊灰的角度出发,应将其作为疑似脊灰病例报告,并将其作为参考指标来评价AFP病例监测系统的敏感性和临床诊断的水平。
From 1992 to 1994, Shandong Province reported a total of 28 patients with paralysis through acute flaccid paralysis (AFP) case monitoring system. The annual incidence rate of children under 15 years old is estimated to be 0.05 / 100,000 ~ 0.06 / 100,000. The causes of paralysis due to injection, mostly in children with fever to accept intramuscular injection of drugs and improper operation, head accidental injury sciatic nerve. In rural areas caused by injection of 85.8%. As paralytic clinical manifestations are typical of AFP, which is clinically difficult to identify with poliomyelitis (polio) in the early stages of disease, poliovirus should be reported as a suspected polio case from the point of polio eradication and be used as a reference Indicators to assess the sensitivity and clinical diagnosis of AFP case surveillance system.