论文部分内容阅读
流行病学调查一.流行过程:1985年7月至9月2日,我市花溪区高坡乡摆陇村摆灯龙寨、麦平乡戈寨村甘总寨、花溪乡杨中村杨梅寨,发生三起人畜炭疽病爆发流行。其过程见下表:二.病人临床特点:潜伏期1至11天,平均4.29天,三起41例。皮肤炭疽35例,肠型6例。其中3例重症系同家,抢救无效死亡。皮肤炭疽主要发生在上下肢,头颈部等部位,占97.14%,病灶典型,伴周身不适,微热。采痂皮及分泌物10份分离培养,形态、生化、串珠试验符合炭疽杆菌特性。镜下见典型炭疽杆菌。6例肠炭疽有不同程度发烧及胃肠道症状。1例并发脑膜炎,出现脑膜刺激征,抽脑脊液血性,培养出炭疽杆菌。另1例到某院以“急性胃肠炎”“菌痢”治疗无效,以“急腹症”转外科手术。术中见腹腔有血性液体,距蔡氏韧带近肠系膜部有无光泽紫色斑两块,肠
Epidemiological survey I. Prevalence process: July 1985 to September 2, 1985, Huaxi District Gaopo Township put Longlong Village pendulum light dragon village, Mai Pingxiang Gezhai Village Ganzhai Walled, Huaxi Township Yangzhong Village Yangmei Village Three human and animal anthrax outbreaks took place. The process is shown in the following table: Second, the clinical features of patients: the incubation period of 1 to 11 days, an average of 4.29 days, 41 cases of three cases. 35 cases of skin anthrax, 6 cases of intestinal type. Three cases of severe family with death, rescue invalid. Skin anthrax occurred mainly in the upper and lower extremities, head and neck and other parts, accounting for 97.14%, lesions typical, with peripheral discomfort, fever. Crab crusts and secretions collected 10 parts of culture, morphology, biochemistry, beaded test in line with the characteristics of Bacillus anthracis. See the typical Bacillus anthracis under the microscope. 6 cases of intestinal anthrax have varying degrees of fever and gastrointestinal symptoms. 1 case of meningitis, meningeal irritation syndrome, cerebrospinal fluid hemoglobin, Bacillus anthracis culture. Another case to a hospital to “acute gastroenteritis” “bacillary dysentery” treatment ineffective, “acute abdomen” to surgery. Intraoperative see intraperitoneal bloody fluid, away from the ligament of Chua’s proximal mesentery with or without glossy purple spots two, intestine