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目的了解金平县老勐苗族乡伤寒爆发情况。方法流行病学调查和临床、实验室检查。结果2003年12月10日~2004年3月27日,在金平县老勐苗族乡,由于家庭聚餐引起食物型伤寒爆发,共发生45例,死亡1例。病人年龄最大66岁,最小6岁,病例之间有明确流行病学联系。主要临床症状为:发热,头痛,腹泻,表情淡漠,食欲不振,听力减退,相对缓脉。实验室检测结果:血液及肛拭标本伤寒杆菌培养阳性。血清肥达氏试验特异性“O”抗体阳性,“H”抗体阳性。结论开展健康教育,提高自我保健意识,改变不健康民风民俗,主动接受预防接种,预防伤寒爆发、流行。
Objective To understand the outbreak of typhoid fever in Lao-Miao Miao and Heung townships in Jinping County. Methods Epidemiological investigation and clinical, laboratory tests. Results From Dec. 10, 2003 to Mar. 27, 2004, 45 cases of food typhoid erupted due to family dinners in Laomeng Miao village of Jinping County, and 1 died. The oldest patient is 66 years old, and the youngest is 6 years old. There is a clear epidemiological connection between the cases. The main clinical symptoms are: fever, headache, diarrhea, apathy, loss of appetite, hearing loss, relative slow pulse. Laboratory test results: Blood and anal swab specimens Salmonella typhimurium culture positive. Serum fat Darth test specific “O” antibody positive “H” antibody positive. Conclusion To carry out health education, raise the awareness of self-care, change the unhealthy customs, take the initiative to receive vaccination, prevent the outbreak of epidemic.