省儿童医院外科7年中收治儿童破伤风152例,其中来自农村者141例,耳沅性者71例,104例使用安定者及48例未使用安定者的病死率分别为1.9％及28％,16例未使用破伤风抗毒素者无1例死亡。据此认为①应加强农村儿童保健;②应积极防治中耳炎,③使用安定可以降低病死率;④破伤风抗毒素的应用并非绝对必要,至少不需要大剂量应用。 Provincial Children’s Hospital surgical treatment of children in 7 years, 152 cases of tetanus, of which 141 cases from rural areas, 71 cases of ear Yuan-yuan, 104 cases of diazepam and 48 cases of untreated diazepam mortality were 1.9% and 28% , 16 cases did not use tetanus antitoxin no one death. Therefore, it is considered that ① rural children’s health care should be strengthened; ② otitis media should be actively prevented and controlled; ③ diazepam should be used to reduce the case fatality rate; ④ the application of tetanus antitoxin is not absolutely necessary, at least not for high-dose applications.