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本病曾于1959年6月25日——7月12日,在淄博一次发病达950例,平均发病率这32.5%。1960年6月9日——6月20日于苏李庄及宋庄两工区发生患者101名,此次总结80例,患者主要为耐火材料厂的集体生活的工人,平均发病率为8.3%,流行全程历时11天。除此地发生流行外,其他如淄川区西河公社龙湾峪村、西坡地村等地区于六、七月份也先后发生近200例。患者症状、体征与去年的患者相同。诊断标准1.潜伏期2—3天,起病迅速,短进间内大量病人发生,呈现流行状态。2.临床特点表现为低烧,体温多在38°5C 以下。咳嗽,吐白色粘液性泡沬料痰,胸闷,气喘,午后至午夜前症状转剧,呈阵发性喘息,端坐呼吸、呈吸气性呼吸困难。食欲不減低。病程7—10天左右。3.嗜伊红白血球计数绝对增多,引起白血球总数增多。骨髓细胞总数无变化,但嗜伊红白血球显著增多,痰液中嗜伊红白血球也显著增多。4.血清学检查,MG 键球菌凝集试验呈阳性反应(转助诊断)。5.胸部 X—射线见肺门增大,肺纹理增粗,肺部显弥漫性点状或片状阴影,但少数轻型病例,可视肺野清晰。
The disease was in June 25, 1959 - July 12, a disease in Zibo 950 cases, the average incidence of 32.5%. From June 9 to June 20, 1960, there were 101 patients in Su Li Zhuang and Song Zhuang two work areas, the summary of 80 cases, the patients mainly refractory material factory collective life workers, the average incidence rate was 8.3% , Popular throughout the duration of 11 days. In addition to the prevalence here, other areas such as Longwanyu Village and Xipo Di Village in Xihe Commune in Zichuan District have also had close to 200 cases in June and July. The patient’s symptoms and signs are the same as those of last year. Diagnostic criteria 1. Incubation period 2-3 days, rapid onset, a large number of patients into short space, showing a prevalent state. 2. The clinical features of low-grade fever, body temperature more than 38 ° 5C. Cough, spit white mucus bubble expectorant, chest tightness, asthma, afternoon to midnight before the turn of the symptoms, was paroxysmal wheezing, sitting breathing, was aspirated breathing difficulties. Appetite does not decrease. Duration of about 7-10 days. 3. Absolute eosinophil count increased, causing an increase in the total number of white blood cells. There was no change in the total number of myeloid cells, but eosinophil leukocytes were significantly increased and eosinophil leukocytes were also significantly increased in sputum. 4. Serological tests, positive test for agglutination of the key group of Acinetobacter baumancini (diagnosis of transfer). 5 chest X-ray see the hilar enlargement, thickening of the lungs, the lungs were diffuse punctate or flaky shadows, but a small number of light cases, clear visual lung field.