目的通过对同安区首例人感染H7N9禽流感病例的调查分析,为类似疫情调查处置提供借鉴。方法采用现场流行病学调查方法,分析病例发病情况及感染来源,采集相关标本进行实验室检测。结果结合流行病学史、临床表现和实验室检测结果,该病例为首例外地感染输入同安本地人感染H7N9禽流感病例,有明确的禽类暴露史和接触史。密切接触者未发现H7N9禽流感病毒感染。结论该病例感染来源考虑禽流感病毒从禽类直接传给人,未发生人传人的现象。早发现、早报告、早诊断、早治疗对提高治愈率,降低病死率尤为重要。 Objective To investigate and analyze the cases of H7N9 bird flu in Tongan District for the first time to provide reference for similar epidemic investigation and disposal. Methods The field epidemiological survey method was used to analyze the incidence of cases and the source of infection, and the related specimens were collected for laboratory testing. Results Combined with epidemiological history, clinical manifestations and laboratory test results, this case was the first case of H7N9 bird flu infection in Tongan native area and had a clear history of exposure to and exposure to avian influenza. H7N9 bird flu virus was not found in close contacts. Conclusions The source of infection in this case considered that the bird flu virus was directly transmitted from poultry to human beings and no human-to-human transmission occurred. Early detection, early report, early diagnosis, early treatment to improve the cure rate, reduce mortality is particularly important.