廖云开, 卢水英, 邹兴梅, 孔祥钦, 张丽丽. 广东省五华县流行性乙型脑炎流行特征分析[J]. 疾病监测, 2004, 19(7): 245-248. DOI: 10.3784/j.issn.1003-9961.2004.7.245
引用本文: 廖云开, 卢水英, 邹兴梅, 孔祥钦, 张丽丽. 广东省五华县流行性乙型脑炎流行特征分析[J]. 疾病监测, 2004, 19(7): 245-248. DOI: 10.3784/j.issn.1003-9961.2004.7.245
LIAO Yunkai. et al, . Epidemiological Characteristics of Encephalitis B in Wuhua County of Guangdong Province[J]. Disease Surveillance, 2004, 19(7): 245-248. DOI: 10.3784/j.issn.1003-9961.2004.7.245
Citation: LIAO Yunkai. et al, . Epidemiological Characteristics of Encephalitis B in Wuhua County of Guangdong Province[J]. Disease Surveillance, 2004, 19(7): 245-248. DOI: 10.3784/j.issn.1003-9961.2004.7.245

广东省五华县流行性乙型脑炎流行特征分析

Epidemiological Characteristics of Encephalitis B in Wuhua County of Guangdong Province

  • 摘要: 目的 分析五华县流行性乙型脑炎的流行病学、临床表现、实验室检查等特点。方法 对五华县2 0 0 3年 5 - 6月份出现的流行性乙型脑炎病人的流行病学资料及临床资料进行分析。结果 患者年龄从 8个月至 11岁 ,流行从 5月 27日开始至 6月 30日止 ,乙脑病例分布于 22个镇 ,没有家庭聚集现象。患者 95.5 %无疫苗接种史。症状均有发热 ,抽搐、昏迷。体征颈强直占 86.4% ,克氏征阳性 63.6%、布氏征阳性 68.2 %。血象白细胞总数平均 16.8× 109/L ,中性粒细胞平均 8.5× 109/L。患者早期血清检测乙脑IgM抗体阳性率 46.2 %。经综合治疗后死亡 2例 ,病死率 4.5 %。结论 乙型脑炎流行具严格的季节性和年龄特征 ,呈高度散发。患者居住卫生条件差、传媒蚊虫多、山区防疫工作有漏洞、免疫接种率低 ,是引起流行主要因素。迟报的原因为临床医生的误诊。因此应重视对流行病学资料的分析 ,提高诊断水平和监测能力 ,以便尽早对传染病早期采取预防控制措施。

     

    Abstract: Objective To determine the epidemiological characteristic,clinical feature,laboratory examination of encephalitis B in Wuhua county Methods The epidemiological data and clinical feature of encephalitis B cases were analyzed. Results The patients age range was 8 months to 11 years old, and the epidemic period was from May 27 to June 30. The cases of Encephalitis B distributed over 22 towns with no family gathering. 99.5% of cases had no history of vaccination and all of the cases had fever,twitch and coma. There were 86.4% of patients with stiff-neek, 63.6% with klinefelter's syndrome,and 68.2% with Brudzinski'syndrem.Leucocyte total average was 16.8×109/L,and neuter granule cell average was 8.5×109/L.The IgM antibody positive rate of Encephialitis B was 46.2% in the early serum examination. After comprehensive treatment, 2 patients died with the death rate 4.5% in the early serum examination. After comprehensive treatment, 2 patients died with the death rate 4.5%. Conclusion The prevalence of En-cephalitis B presented a very strict season and age characteristis. The poor living condition,massive media in-sects,the shortage in epidemic prevention in rough area,and low vaccination rate were main factors. It was improtant to emphasis the epidemiological analysis, to develop the diagnosis and inspect ability,and to control the disease prevalence of as early as possible.

     

/

返回文章
返回