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目的了解武警山东总队医院疾病预防控制科接诊病例情况,明确诊断感染性、传染性疾病,并进行专科专转、专诊专治、专防专控,防患于未然。方法对该院2012~2014年4 138例发热、腹泻患者在门诊部分诊台进行分诊,全部按照指定路线到疾病预防控制科就诊。发热的患者均给予戴口罩。对其常规进行流行病学、卫生病学史询问调查;进行常规性临床医学检查筛查,落实三级检诊制度;确诊传染性疾病、感染性疾病、普通疾患,随即严格执行落实上级疾控部门要求的基本处置流程,进行相应的转院、转科、本科留观隔离、临床治疗、终末处置等方法措施;进行疾病分类统计、报表、备份。结果传染性疾病共132例,占3.19%;感染性疾病3 950例,占95.48%;普通疾患56例,占1.35%。发热患者多在春秋冬季节多发,多集中在秋冬换季时发病就诊;而腹泻患者包括细菌性痢疾主要出现在夏秋季节。春季表现显著的按发病率高低依次是呼吸系统疾病、病毒性腮腺炎、水痘、麻疹、肺结核;夏季主要是甲肝、乙脑;秋季发现1例流脑。发病人群依次为民工、学生、流动人员。发病年龄以青壮年多见。结论就诊于武警山东总队医院疾病预防控制科的发热、腹泻患者主要是感染性疾病。
Objective To understand the cases of admissions of disease prevention and control department of Shandong Provincial Armed Police Corps Hospital, to make clear the diagnosis of infectious and infectious diseases, and to carry out specialized specialty specialization, specialized prevention and control, prevention and control in the first place. Methods A total of 4 138 cases of fever and diarrhea patients in the hospital from 2012 to 2014 were divided in outpatient clinics. All patients were referred to the Disease Control and Prevention Section for treatment according to the designated route. Fever patients are given masks. Routine investigation of its epidemiology, history of health studies; regular screening of clinical medicine screening, the implementation of three-tier inspection system; diagnosis of infectious diseases, infectious diseases, common diseases, and then strictly implement the superior disease and disease control Departmental requirements of the basic disposal process, the transfer, transfer subjects, undergraduate observation and isolation, clinical treatment, terminal disposal and other measures; classification of disease statistics, statements, backup. Results A total of 132 cases of infectious diseases, accounting for 3.19%; 3 950 cases of infectious diseases, accounting for 95.48%; 56 cases of common diseases, accounting for 1.35%. Fever patients often in the spring and autumn and winter seasons, and more concentrated in autumn and winter season onset of treatment; and diarrhea patients, including bacillary dysentery mainly in summer and autumn. Significantly according to the spring rate of morbidity, followed by respiratory diseases, viral parotitis, chickenpox, measles, tuberculosis; summer is mainly hepatitis A, JE; fall was found in 1 case of meningitis. The patients were migrant workers, students and migrants. Age of onset to more common in young adults. Conclusions Visiting patients in the Armed Police Corps Shandong Provincial Department of Disease Prevention and Control fever, diarrhea patients are mainly infectious diseases.