神木县某中学群体性食物中毒的临床救治和流行病学调查.pdfVIP

神木县某中学群体性食物中毒的临床救治和流行病学调查 刘永林 撖耀斌 陕西省榆林市神木县医院，陕西省榆林719300 目的：探讨群体性食物中毒的临床诊治和流行病学分析。方法：对2008年7月我院收治的68例群体食物中毒患 者的临床特点、治疗经过、流行病学进行回顾分析。结果68例中男62例，女6例，年龄分布在15-35岁。均有腹痛伴腹 泻等消化道前驱期症状，入院后有皮疹67例，发热50例，头痛24例，乏力16例，咽充血5例，耳后及颌下淋巴肿大5 例，血压增高1例。结论：68例经过集中救治全部治愈，本组食物中毒多考虑为细菌感染的混合因素，建立健全突发公共 卫生事件应急机制是救治成功的关键。 中学；食物中毒；流行病学 TheClinicalTreatmentandEpidemiologicalInvestigationofFood PoisoninginaMiddleSchoolinShenmu LIUYonglinHANYaobin ShenmuHospitalYulinCityShanxiProvince719300 AimExploretheclinicaltreatmentandepidemiologicalanalysisoffoodpoisoning. Method Aretrospectiveanalysisofthefoodpoisoningwithclinicalfeatures,treatmentandepidemiologyof68caseswas doneinourhospitalduringJuly2008.ResultAmongthe68cases,62males,6females,agedfrom15to35years old.Allofthepatientswithabdominalpainwithdiarrheaandothergastrointestinalsymptoms.Amongthe67 casesafteradmissionintohospital,50withfever,24withheadache,16withfatigue,5withpharyngealcongestion,5 withswollenlymphnodesbehindearandsubmandibular,1withhighbloodpressure.ConclusionAfter centralizedtreatment,allthe68caseswerecured,thesefoodpoisoningwereconsideredasmixedbacterial infection.Theestablishmentofemergencymechanismsofpublichealthemergenciesisthekeytosuccessful treatment. middleschool;foodpoisoning;epidemiologicalanalysis 数 可 达 1--2 ：据但故符合1 ‘效故均支持2 料菌引起阴乍 怔性食物中毒