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浙江省湖州市南浔区首例疫苗相关麻痹型脊髓灰质炎(VAPP)病例于口服第3剂次脊髓灰质炎减毒活疫苗21 d后出现左下肢急性弛缓性麻痹(AFP)的症状,预检时无异常,亦无肛周脓肿。提示除首剂次会发生VAPP病例外,其他剂次也可能发生。该病例属漏报病例,应进一步完善并统一VAPP诊断标准及流程,继续加强AFP监测管理工作,以防漏报。
The first case of vaccine-related paralytic poliomyelitis (VAPP) in Nanxun District of Huzhou City, Zhejiang Province showed symptoms of acute flaccid paralysis (AFP) of left lower extremity after oral administration of live attenuated attenuated vaccine of the third dose of poliomyelitis for 21 days. No abnormalities, no perianal abscess. Tip addition to the first dose will occur in VAPP cases, other doses may also occur. The case is a case of omission, VAPP diagnostic criteria and procedures should be further improved and unified, and the AFP monitoring and management work should be further strengthened to prevent omission.