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目的分析一起接种“麻疹风疹联合减毒活疫苗”和“乙脑减毒活疫苗”偶合死亡案例,为接种不良反应及处置提供参考。方法按疑似预防接种异常反应进行个案调查,同时申请提交法医鉴定。结果根据流行病学调查、参考相关文献以及法医鉴定意见,经市级预防接种异常反应诊断专家小组综合分析,判定患儿死于“重症肺炎、腹泻病伴重度脱水”。属偶合症。结论应加强对儿童家长免疫接种知识的健康教育,发生接种不良反应时,应及时、规范到医疗机构进行处置,减轻不良反应的危害。
Objective To analyze the cases of coupled death with measles and rubella combined with live attenuated live attenuated vaccine and live attenuated live attenuated Japanese encephalitis vaccine in order to provide reference for adverse reactions and treatment of vaccination. Methods Suspected vaccination anomalies were investigated on a case-by-case basis and applied for forensic identification. Results According to the epidemiological investigation, reference to the relevant literature and forensic expert opinion, the expert group of experts on abnormal diagnosis of vaccination at municipal level made a comprehensive analysis to determine that the patient died of severe pneumonia and severe dehydration of diarrhea with severe pneumonia. Is a coupling disease. Conclusions Health education should be strengthened on the knowledge of immunization of parents of children. In the event of adverse reaction of vaccination, the medical institutions should be regulated in a timely manner to deal with the harm and reduce the harm of adverse reactions.