| 非新生儿破伤风诊疗规范 |
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| 引用本文： | 王传林,刘斯,陈庆军,邵祝军,吴纪峰,范昭,王培戈,朱政纲,兰频,李建国,郑以山,何武兵,徐哲,唐卫东,逄金满,班志红,杨树青,丁文涛,郑希福,张齐龙.非新生儿破伤风诊疗规范[J].中国计划免疫,2020(2):228-231,240. |
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| 作者姓名： | 王传林 刘斯 陈庆军 邵祝军 吴纪峰 范昭 王培戈 朱政纲 兰频 李建国 郑以山 何武兵 徐哲 唐卫东 逄金满 班志红 杨树青 丁文涛 郑希福 张齐龙 |
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| 作者单位： | 北京大学人民医院急诊科/创伤救治中心;北京大学第一医院急诊科;北京市和平里医院急诊科;中国疾病预防控制中心传染病预防控制所;石家庄市第五医院外科;北京大学深圳医院急诊科;青岛大学附属医院急诊科;武汉市疾病预防控制中心;浙江大学丽水医院急诊科;河北省人民医院急诊科;南京市第二医院重症医学科;福建医科大学省立临床医学院;解放军总医院第五医学中心感染性疾病诊疗与研究中心二科;新疆维吾尔自治区人民医院苏州路院区骨科;济南市第三人民医院两腺外科;广西国际壮医医院急诊科;重庆市急救医疗中心重庆大学附属中心医院急诊部;天津市第一中心医院普通外科;大连医科大学附属第一医院骨科;江西省胸科医院急诊危重症医学科 |
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| 摘 要： | 中国已于2012年消除了新生儿破伤风,但非新生儿破伤风仍是一个严重的公共卫生问题。非新生儿破伤风重症患者在无医疗干预的情况下,病死率接近100%,即使经过积极的综合治疗,全球范围病死率仍为30%-50%,是一种极为严重的潜在致命性疾病。为规范中国非新生儿破伤风诊疗行为,提高医疗质量,保障医疗安全,特制定本规范。本规范包括非新生儿破伤风的病原学、流行病学、发病机制、临床表现、实验室检查、诊断、鉴别诊断、分级、治疗等内容。
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| 关 键 词： | 非新生儿破伤风 诊断 治疗 规范 |
Guidance for diagnosis and treatment of non-neonatal tetanus |
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| Wang Chuanlin,Liu Si,Chen Qingjun,Shao Zhujun,Wu Jifeng,Fan Zhao,Wang Peige,Zhu Zhenggang,Lan Pin,Li Jianguo,Zheng Yishan,He Wubing,Xu Zhe,Tang Weidong,Pang Jinman,Ban Zhihong,Yang Shuqing,Ding Wentao,Zheng Xifu,Zhang Qilong.Guidance for diagnosis and treatment of non-neonatal tetanus[J].Chinese Journal of Vaccines and Immunization,2020(2):228-231,240. |
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| Authors: | Wang Chuanlin Liu Si Chen Qingjun Shao Zhujun Wu Jifeng Fan Zhao Wang Peige Zhu Zhenggang Lan Pin Li Jianguo Zheng Yishan He Wubing Xu Zhe Tang Weidong Pang Jinman Ban Zhihong Yang Shuqing Ding Wentao Zheng Xifu Zhang Qilong |
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| Institution: | (Emergency Department/Trauma Center,Peking University People′s Hospital,Beijing 100044,China;Department of Emergency,Peking University First Hospital,Beijing 100034,China;Emergency Department,Beijing Hepingli Hospital,Beijing 100013,China;National Institute for Communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Surgical Department,Shijiazhuang Fifth Hospital,Shijiazhuang 050021,China;Emergency Department,Peking University Shenzhen Hospital,Shenzhen 518036,China;Emergency Department,The Affiliate Hospital of Qingdao University,Qingdao 266003,China;Wuhan Municipal Center for Disease Control and Prevention,Wuhan 430015,China;Department of Emergency,Lishui Hospital,Zhejiang University School of Medicine,Lishui 323000,China;Emergency Department,Hebei General Hospital,Shijiazhuang 050051,China;Department of Critical Care Medicine,The Second Hospital of Nanjing,Nanjing 210003,China;Provincial Clinical Medical College,Fujian Medical University,Fuzhou 350001,China;The Center of Infectious Diseases,the Fifth Medical Center,PLA General Hospital,Beijing 100039,China;Suzhou Road Hospital,Xinjiang Autonomous Region People's Hospital,Department of Orthopedics,Urumqi 830000,China;Thyroid and Breast Surgery,The Third Hospital of Jinan,Jinan 250132,China;Emergency Department,Guangxi International Zhuang Medicine Hospital,Nanning 530200,China;Emergency Department,Chongqing Emergency Medical Center/Central Hospital of Chongqing University,Chongqing 400014,China;Department of General Surgery,Tianjin First Central Hospital,Tianjin 300192,China;Department of Orthopedic Surgery,First Affiliated Hospital,Dalian Medical University,Dalian 116011,China;Department of Emergency and Critical Care Medicine,The Jiangxi Chest Hospital,Nanchang 330006,China) |
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| Abstract: | Although neonatal tetanus has been eliminated in China since 2012,non-neonatal tetanus remains a serious public health issue.Non-neonatal tetanus is a potentially fatal disease,with a case-fatality rate among severe cases of almost 100%in the absence of medical intervention.Even with aggressive treatment,the fatality rate is still 30%-50%globally.In order to standardize diagnosis and treatment of non-neonatal tetanus in China,we formulated guidance that includes etiology,epidemiology,pathogenesis,clinical manifestations,laboratory tests,diagnosis,differential diagnosis,classification,grading,and treatment of non-neonatal tetanus. |
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| Keywords: | Non-neonatal tetanus Diagnosis Treatment Guidance |
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