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本文对1995年12月至1996年2月郑州市旋毛虫病大暴发进行了流行病学及临床研究。结果表明.此次本病暴发共有291人感染旋毛虫,其中发病212入,主要因食未煮熟的猪肉馅饺子所致。291例旋毛虫感染者分布于郑州市85个单位,主要在市区西部。感染入群以工人、干部及商业人员为主,年龄集中在20~49岁的青壮年,男性多于女性。在212例旋毛虫病患者中多数无胃肠道症状和皮疹,眼睑水肿仅见于发病早期,而主要表现为长期发热、全身乏力及嗜酸性粒细胞增多。6例旋毛虫重复感染的患者症状较轻。分别有7和10例患者并发肾脏损害和。心肌炎。应用IFAT和MPT对212例旋毛虫病患者血清检测时,抗体阳性串分别为89.15%和87.73%,治疗后1周再次检测时,抗体阳性率均已达100%,因此,血清学检查对诊断本病有重要价值。212例患者均应用阿苯哒唑治愈。预防本病的关键措施是加强肉检和改变不良的饮食习惯。
In this paper, from December 1995 to February 1996 Zhengzhou City, outbreaks of Trichinellosis epidemiological and clinical studies. The results show. The outbreak of the disease a total of 291 people infected with Trichinella, 212 of which incidence, mainly due to eating uncooked pork dumplings due. 291 cases of Trichinella infection were distributed in 85 units of Zhengzhou City, mainly in the western part of the urban area. Infected into the group of workers, cadres and commercial personnel mainly aged 20 to 49 years old young adults, more men than women. Most of the 212 patients with trichinosis had no gastrointestinal symptoms and rashes. Eyelid edema occurred only in the early stage of onset, but mainly manifested as long-term fever, generalized weakness and eosinophilia. 6 cases of Trichinella infection in patients with mild symptoms. Seven and ten patients had kidney damage and, respectively. Myocarditis. When IFAT and MPT were used to detect serum of 212 cases of Trichinellosis, the positive rate of antibody positive was 89.15% and 87.73%, respectively, and the antibody positive rate reached 100% once again one week after treatment. Therefore, the serum Learning to diagnose the disease has important value. All 212 patients were cured with albendazole. The key to prevent this disease is to strengthen the meat inspection and to change bad eating habits.