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[目的]了解疾病暴发的原因,为今后的防治工作提供经验。[方法]对2005年兖州市1起病毒性脑膜炎暴发进行调查。[结果]全市合计发病280例,发病率为0·46‰。7月中、下旬发病162例,占57·86%;病人年龄24d至13岁,6岁以下儿童179例(占63·93%);男性166例,女性114例;病人分布在全市所有乡镇和28·74%的村,新驿、新兖、大安3处乡镇合计发病181例(占64·64%)。临床症状以低、中度发热,喷射状呕吐和头痛为主。CoxB5病毒阳性率病人早期脑脊液为46·55%,粪便为33·33%。[结论]这是1起由CoxB5病毒感染所致的病毒性脑膜炎暴发。
[Objective] To understand the causes of disease outbreak and provide experience for future prevention and treatment work. [Method] An outbreak of viral meningitis in Yanzhou city in 2005 was investigated. [Results] The total incidence of the city 280 cases, the incidence was 0.46 ‰. In mid- and late July, 162 cases (57.86%) were reported; the patients ranged from 24 to 13 years old and 179 cases (63.93%) under 6 years old; 166 males and 114 females; the patients were distributed in all the townships And 28.74% villages, Xin Yi, Xin Yan and Da’an townships together accounted for 181 cases (64.64%). Clinical symptoms with low, moderate fever, jet-like vomiting and headache-based. The positive rate of CoxB5 virus in patients with cerebrospinal fluid was 46.55%, stool 33.33%. [Conclusion] This is an outbreak of viral meningitis caused by CoxB5 infection.