| 黑热病166例病例流行病学与临床分析 |
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| 引用本文： | 张丽萍,张富南. 黑热病166例病例流行病学与临床分析[J]. 寄生虫病与感染性疾病, 2010, 8(4) |
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| 作者姓名： | 张丽萍 张富南 |
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| 作者单位： | 四川省疾病预防控制中心; |
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| 摘 要： | 目的通过对黑热病病例的分析,探讨黑热病的流行病学与临床特点,为临床减少误诊提供依据。方法对就诊患者采用rk39试纸条检测,阳性者收集流行病学、发病情况、临床表现以及其在医院的病原学、辅助检查和病历记录等资料,免费给予锑剂药物治疗;对资料进行整理、统计和回顾性分析。结果病例均有传播季节在流行区居住史;全年各月均有发病,非流行区病例以到九寨沟县、黑水县和甘肃、新疆流行区感染后发病的居多。发病男性高于女性。流行区16岁以下发病较多,占35.09%;非流行区以16岁及以上发病居多,占97.85%。病程最短者为7d,最长者达2年;主要临床表现为长期不规则发热占100.00%,进行性肝脾肿大占98.00%;以白细胞为主的全血细胞减少及血浆球蛋白增高分别占83.33%和93.18%。rk39试纸条检查与骨髓穿刺的阳性符合率为100.00%,rk39试纸条的检出率明显高于骨髓穿刺(P0.01)。结论加强流行区居民和流动人口防病宣传,从流行病学入手控制黑热病;黑热病的早期诊断关键是了解流行病学资料,认识该病的临床特点,掌握骨髓或rk39试纸条检查方法,防止漏诊误诊。
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| 关 键 词： | 黑热病 病例 流行病学 临床 分析 |
Epidemiological and Clinical Analysis of 166 Kala-azar Cases |
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| ZHANG Li-ping,ZHANG Fu-nan. Epidemiological and Clinical Analysis of 166 Kala-azar Cases[J]. Parastoses and Infectious Diseases, 2010, 8(4) |
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| Authors: | ZHANG Li-ping ZHANG Fu-nan |
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| Affiliation: | ZHANG Li-ping,ZHANG Fu-nan(Institute of Parasitic Disease,Sichuan Provincial Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province.China) |
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| Abstract: | Objective To analyze epidemiological and clinical characteristics of kala-azar and provide evidence to reduce the misdiagnosis of the disease.Methods The rk39 dipstick was used,as for those with positive results,the data of epidemiology,incidence,clinical manifestation,etiology,accessory examination and medical records were collected for retrospective analysis,and free antimonials treatment was given.Results All the cases had the history of living in epidemic areas in transmission seasons.The disease occurr... |
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| Keywords: | Kala-azar Cases Epidemiology Clinical Analysis |
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