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一次性输入7例恶性疟疾的调查及处理报告
引用本文:张明江,吴建峰,陆永昌,严国祥,张家祝.一次性输入7例恶性疟疾的调查及处理报告[J].中国国境卫生检疫杂志,2000,23(4):194-196.
作者姓名:张明江  吴建峰  陆永昌  严国祥  张家祝
作者单位:南通出入境检验检疫局
摘    要:目的] 根据1999年7月15日收到的韩国籍“皇家”号轮在航行中转发的电报,对其实施医疗救助。方法] 在组织医疗救护的同时,开展了流行病学调查、个案调查、医学监测、血片镜检疟原虫等工作。结果] 至1999年7月19日,“皇家”号轮本次共发生5例疟疾现症病人;2例带虫者。全船17名船员血检,发现阳性血片7份,阳性率为41.2%;6名发热船员血检,发现阳性血片5份,阳性率为83.3%。对现症病人和带虫者,为避免抗药性采用蒿甲醚根治疗法;对其它船员作假定性抗疟治疗,全部船员投放足量预防药(备用)。对货物(圆木)用体积分数为0.3%的敌敌畏行快速有效灭蚊,切断传播途径。结论] 本次调查、处理中,利用因特网等现代技术迅速获取有关流行病学资料,在本次疫情的顺利调查及时诊断方面,显示其重要性;快速有效灭蚊措施的落实,切断了传播途径是本次疫情扑灭的关键。

关 键 词:输入性恶性疟疾  调查  国际船舶  南通口岸  带虫者  流行病学
修稿时间:2000年5月12日

The Investigation and Treatment of Seven Falciparum Malaria Cases of One- time Tmportion Into Nantong Port
Zhang Ming Jiang,et al Nantong Entry - Exit Inspection and Quarantine Bureau.The Investigation and Treatment of Seven Falciparum Malaria Cases of One- time Tmportion Into Nantong Port[J].Chinese Journal of Frontier Health and Quarantine,2000,23(4):194-196.
Authors:Zhang Ming Jiang  Nantong Entry - Exit Inspection and Quarantine Bureau
Abstract:After receiving the telegram of medical assistance on 15 July, 1999, we organized First aid and medical nursing, meanwhile epiemiological survey of the voyage of the vessel "Loyal", individual interviewing, medical surveillance, as well as the smearing blood - sample taken from lobe on the glass slice to form thick and thin bloody membrane for detect-ing malarial parasite were carried out. Up to 19 July, 1999, seven falciparum malaria cases (including two P.falciparum carriers) were found. P. falciparum were detected in 7 of 17 blood samples, the positive rate was 41.2% ; P.falciparum were detected in 5 of 6 patients with fever, the positive rate was 83.3% . In order to avoid the medicine resistance, we cured the seven p. falciparum malaria cases with Artemether tablet, supposed anti - malaria therapy was applied to the others, sufficient prophylactic against malaria were prepared for the crews bound for malarious area in the future. Rapidly annihilating mosquitoes with 0.2% DDVP was applied to cargo (timber) and accommodation of vessel for disconnecting conveyance. The epidemiological data collected rapidly by Internet in important in the smoothly investigating and diagnos-ing in time; the control of the spread of malaria thanks to key measure of promptly eliminating mosquitoes.
Keywords:P  falciparum malaria imported cases
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