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自1982年11月～1983年11月共收治流行性出血热患者305户,计324例。有一户多发现象者18户,占5.9％。其中一户2例者17户,一户3例者1户。其临床特点是:1、多发生在高发区及流行的高峰季节。2、首发病例与续发病例的间隔期,大多在6～13天。3、首发病例多病情重,预后差。4、续发病例的发生与家庭成员间似无明显相关性,但均有密切接触史。 文章探讨了产生一户多发现象的可能机理:1、在高发区的流行高峰季节,人群与鼠类及其排泄物的接触机会及受染机会大大增加。2,急性期病毒血症患者带有病毒的血液,直接污染健康人破损的皮肤,从而造成人与人间的接触传染。
From November 1982 to November 1983 a total of 305 patients with epidemic hemorrhagic fever were treated, accounting for 324 cases. There are 18 households with multiple symptoms, accounting for 5.9%. There are 17 households with 2 cases in one household and one household with 3 cases in one household. Its clinical features are: 1, occurred in high incidence areas and the peak season. 2, the interval between the first case and recurrence cases, mostly in 6 to 13 days. 3, the first case of multiple illness, poor prognosis. 4, cases of recurrence and family members seem to be no significant correlation between, but have close contact with history. This article explores the possible mechanisms that lead to a multi-occurrence phenomenon: 1. In the peak season in high incidence areas, opportunities for exposure to humans and their feces and their fecal matter greatly increase their chance of exposure. 2, patients with acute viral viremia with blood, directly contaminated skin damaged healthy people, resulting in contact between people and humans.