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目的了解吴川市Z村被红火蚁咬伤病例的患病率、三间分布、临床表现及其治疗情况,为预防控制提供科学依据。方法用一览表问卷普查Z村村民被咬伤的流行病学特征、临床表现和治疗情况。结果全村69户都有人被叮咬过,累计患病率93.8%(289/308),1999年发现疑似红火蚁伤人,2002~2004年病例逐年增加;无性别、年龄差异;在农田务农被叮咬者占78.5%;临床表现以轻微的痒痛(100%)、红润(99.2%)、水(脓)疱(98.8%)、丘疹(59.0%)为多见,少见全身过敏(0.8%)和休克(0.8%)等严重症状,咬伤部位以四肢(81.7%)为主,85.3%病例自己用药,使用消炎、抗过敏药治疗效果好,无死亡病例。结论村民普遍被叮咬,临床表现以局部表现为主,预后良好。
Objective To understand the prevalence, distribution, clinical manifestation and treatment of Zinacanthus ants in Zichuan Village, Wuchuan City, so as to provide a scientific basis for prevention and control. Methods A questionnaire was used to survey the epidemiological characteristics, clinical manifestations and treatment of bitten in Z village. Results A total of 69 households in the village were bites, with a cumulative prevalence rate of 93.8% (289/308). In 1999, suspected cases of red fire ants were found. Cases of red fire ants were found to have increased from 2002 to 2004, with no gender and age differences. Bites accounted for 78.5%; clinical manifestations with mild itching (100%), ruddy (99.2%), water pus (98.8%), papules (59.0%) were more common, rare systemic allergies (0.8% (0.8%) and other serious symptoms. The bite site mainly consisted of limbs (81.7%), 85.3% of the patients had their own medication, anti-inflammatory and anti-allergic drugs were used, and no deaths were found. Conclusion Villagers are generally bites, the clinical manifestations of local performance-based, good prognosis.