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目的:通过调查疑似急性迟缓性麻痹病例,总结经验,及时发现监测中存在的问题,进一步推动消灭脊髓灰质炎工作,为同行在AFP监测工作中遇到类似问题提供参考。方法:按照AFP病例个案调查表对14位病例进行调查,省级AFP病例专家诊断小组进行会诊,疑似AFP病例实验室检查。结果:14人神经系统检查未引出病理征,肌力和肌张力都是正常的,经专家组会诊、排查,该校报告的疑似AFP病例与急性弛缓性麻痹的可能性不大,暂不考虑小儿麻痹。结论:根据现场流行病学调查和患儿临床表现及体征,事件与聚集性AFP病例无相关联系。
OBJECTIVE: To provide reference for colleagues to encounter similar problems in AFP surveillance by investigating cases of suspected acute delayed paralysis, summarizing experiences, discovering problems in monitoring in time, and further promoting polio eradication. Methods: AFP cases in accordance with the questionnaire on 14 cases were investigated, the provincial AFP case expert diagnosis group consultation, suspected AFP case laboratory tests. Results: The neurological examination of 14 patients did not lead to pathological signs, muscle strength and muscle tone are normal, the group of experts consultation, investigation, the school reported suspected AFP cases and acute flaccid paralysis is unlikely, not to consider Polio. Conclusion: According to the field epidemiological investigation and the clinical manifestations and signs of children, there was no correlation between the events and the clustered AFP cases.