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吴县市阳澄湖镇1只狂犬咬伤3人,1人发病死亡,2人11年后抗狂犬病毒抗体均为阳性,报告如下。 1 病历摘要 病例1:凌某,男,13岁,学生,阳澄湖镇范浜村人,1987年7月24日9:30左右被亲戚自养家犬咬伤右手背、手掌及肘关节处,伤口0.2～0.5cm,深及脂肪层。由于伤势较重,血流不止,家长即用毛巾包扎伤口,当日下午至吴县市卫生防疫站动物咬伤门诊就诊。先用20％肥皂水和冷开水反复冲洗伤口30min后,再用5％碘酒消毒,按0、3、7、14、30d的免疫程序注射狂犬病疫苗,疫苗由上海生物制品研究所生产。8月14日(潜伏期21d)在注射第4针后,自觉伤处疼痛,皮肤麻木,有蚁行感,体温39℃,兴奋,烦躁不安,大量流涎,肢体瘫软,神志清楚,诊断为狂犬病。8月17日死于苏州市第五人民医院。凌某注射疫苗期间正值学校放假,天天在河里摸鱼捉虾、游泳。
Yangcheng Lake Town, Wudang City, a rabies bite 3 people, 1 death, 2 11 years after anti-rabies virus antibodies are positive, the report is as follows. 1 case summary 1: Lingmou, male, 13 years old, student, Yangcun Town Fanbang village, at about 9:30 on July 24, 1987 was bite back relatives autotrophs dogs, palms and elbows, wound 0.2 ~ 0.5cm, deep and fat layer. Due to heavier injuries, blood flow more than that, parents that use a towel dressing wounds, the afternoon Wu County Health and Epidemic Prevention Station animal bites clinic. The wounds were rinsed with 20% soapy water and cold water for 30 minutes, then disinfected with 5% iodine, and rabies vaccine was injected according to the immunization schedule of 0, 3, 7, 14 and 30 days. The vaccine was produced by Shanghai Institute of Biological Products. August 14 (the incubation period of 21d) after the injection of the fourth needle, consciously hurt at pain, skin numbness, a sense of ants, body temperature 39 ℃, excitement, irritability, massive salivation, limbs limp, conscious, diagnosed as rabies. August 17 died in Suzhou City Fifth People’s Hospital. Ling a vaccination period coincided with the school holiday, every day in the river to catch fish to catch shrimp, swimming.