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目的调查一起皮肤炭疽继发脑膜炎炭疽致死亡病例事件,查明发生原因和可疑危险因素。方法进行流行病学调查,结合临床诊断及实验室检测等结果进行分析。结果该村属于炭疽自然疫源地,近3年无炭疽疫情报告,但经过病例排查后发现3例皮肤炭疽;畜间疫情不明;该死亡病例由皮肤炭疽继发脑膜炎型炭疽,因治疗延误而死亡。结论加强县、乡(镇)医疗机构、村医的专业知识培训,提高其临床诊断治疗能力应该作为今后边远农牧区医疗卫生工作的重点。
Objective To investigate a case of death from anthrax secondary to meningitis caused by anthrax and to identify the causes and suspicious risk factors. Methods Epidemiological survey, combined with clinical diagnosis and laboratory test results were analyzed. Results The village belongs to the natural foci of anthrax. No anthrax epidemic was reported in the past three years. However, three cases of skin anthrax were found after investigation. The epidemic situation in the livestock was unknown. The death was caused by anthrax secondary to meningitis caused by skin anthrax. And death. Conclusion Strengthening the professional knowledge training of medical institutions and village doctors in counties, townships (towns) and improving their ability of clinical diagnosis and treatment should be the focus of medical and health work in rural and pastoral areas in the future.