论文部分内容阅读
1981年1月至6月我市某自然村,发生了流行性出血热的簇状流行,共发生37例,罹患率16.4％。我们在流行病学调查过程中,发现一户中有四例发生流行性出血热,现将此户的流行病学调查结果报告如下。 首例患者王××,男,25岁,农民。1981年元月4日开始发冷、发烧、头痛乏力,3天后腰部剧烈疼痛,双膝关节疼,大便呈黑色,小便明显减少,于元月7日入院。体温39℃,脉搏120次/分,血压98/50mmHg。两腋下有明显的出血点,呈条索状,压之不退色。眼结膜充血水肿,软腭有点状出血点。实验室检查:尿蛋白++,管型++,最少尿量500ml/日,血象:白细胞18900/mm~3,血小板7万/mm~3,大便潜血阳性。诊断:流行性出血热。经抗炎、利尿、补液等治疗,6天后尿量达2400 ml/日,病情逐渐稳定,尿常规正常,出血点消失,于元月27日出院。
From January to June 1981, there was a cluster epidemic of epidemic hemorrhagic fever in a natural village in our city, with a total of 37 cases with an attack rate of 16.4%. In the course of epidemiological investigation, we found that there were four cases of epidemic hemorrhagic fever in one household. The epidemiological findings of this household are reported below. The first patient Wang × ×, male, 25 years old, farmer. January 4, 1981 chills, fever, headache fatigue, severe pain in the waist after 3 days, double knee pain, stool was black, significantly reduced urine, was admitted on January 7. Body temperature 39 ℃, pulse 120 beats / min, blood pressure 98 / 50mmHg. There are obvious bleeding under the armpits, was a cord-like, the pressure does not fade. Conjunctival congestion and edema, soft palate a little bit bleeding. Laboratory tests: urinary protein ++, tubular ++, the minimum amount of urine 500ml / day, blood: white blood cells 18900 / mm ~ 3, platelets 70,000 / mm ~ 3, fecal occult blood positive. Diagnosis: Epidemic hemorrhagic fever. The anti-inflammatory, diuretic, rehydration and other treatment, 6 days after the urine output reached 2400 ml / day, the condition gradually stabilized, normal urine, bleeding disappeared on January 27 was discharged.