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对青海省391例鼠疫病例进行临床统计分析。各型鼠疫潜伏期平均2.34天,腺鼠疫2.8天,肺鼠疫2.1天,败血型鼠疫1.9天。从166起首发病例统计,以腺鼠疫最多146例(87.85%),腺肿部位以上肢为主(58.89%)。腺鼠疫极易继发肺炎。发病的391中肺鼠疫225人(57.54%)。青藏高原型的鼠疫菌株毒力强,直接经手部皮肤或经口腔及上呼吸道进入机体的菌量大,致使各型鼠疫的临床表现均较危重。治疗鼠疫首选药物是链霉素,多采用大剂量突击疗法,腺鼠疫平均用药26.32g左右,平均14.6天治愈。肺鼠疫用药45.2g左右,平均23.5天治愈.死亡的213人中肺鼠疫患者121人(56.81%).一般重症鼠疫如肺鼠疫、败血型鼠疫、脑膜炎型鼠疫,这三型鼠疫之和占总死亡人数的86.85%。造成此后果的主要原因除本身病型重危外,与牧区缺医少药、误诊误治、交通不便延误治疗有关。为了提高治愈率,必须加强对基层医务人员培训,提高业务水平,做到早期发现早诊治,降低死亡率。
In 391 cases of plague in Qinghai Province, clinical analysis. Various types of plague incubation period of an average of 2.34 days, 2.8 days of bubonic plague, pneumonic plague 2.1 days, septicemia plague 1.9 days. From 166 cases of the first case statistics, up to 146 cases of bubonic plague (87.85%), parts of the upper limb mainly swollen (58.89%). Pneumonic plague easily secondary to pneumonia. The incidence of 391 pneumonic plague 225 (57.54%). The plague strains of the Qinghai-Tibet Plateau are highly virulent and enter the body directly through the skin of hands or through the oral cavity and the upper respiratory tract, resulting in more serious clinical manifestations of plague. The preferred drug treatment of plague is streptomycin, the use of large doses of surprise therapy, the average use of glandula plague about 26.32g, an average of 14.6 days to cure. Pneumonic plague medication 45.2g or so, an average of 23.5 days to cure. Among 213 deaths, 121 were pneumonic plague patients (56.81%). General severe plague such as pneumonic plague, septicemia plague, meningitis plague, the three types of plague accounted for 86.85% of the total number of deaths. In addition to its own critically ill, the main causes of this consequence are related to the lack of medical treatment in the pastoral areas, misdiagnosis and mistreatment, and delays in the treatment of traffic inconveniences. In order to improve the cure rate, it is necessary to strengthen the training of grassroots medical personnel and improve their professional level so that early detection and early diagnosis and treatment can be implemented to reduce the mortality rate.