芜湖市2004~2005年C群流行性脑脊髓膜炎流行特征分析  

Clinical Features and Epidemiological Characteristics of Epidemic Cerebrospinal Meningitis Caused by Serogroup C in Wuhu city

作　　者：程周祥[1] 汪思银[1] 钱邦群[1] 倪进东[1] 

机构地区：[1]芜湖市疾病预防控制中心,安徽芜湖241000

出　　处：《安徽预防医学杂志》2005年第6期323-326,335,共5页Anhui Journal of Preventive Medicine

摘　　要：目的对芜湖市C群流行性脑脊髓膜炎(以下简称流脑)临床及流行特征进行分析,为C群流脑防控工作提供依据。方法对2004~2005年C群流脑个案调查进行分析。结果C群流脑发病以13~17的中学生为主,占68.18%;病死率较高,为22.73%。死亡病例病情进展迅速,从发病至死亡平均时间为21h,最短的仅5.5h。传染源以隐性感染者为主,所有病例均没有同班级及居家集中现象,发病时间呈现不连续的3个时间段,时间段间隔超过最长潜伏期。发病由开始的局部爆发地区向周边地区扩散,成散发状态。10岁以下小年龄组发病病情较重,病死率较高。有54.55%的病例皮肤出现不同程度的出血点、瘀点、瘀斑;50%的病例血象白细胞总数超过20×109/L,88.33%的病例中性粒细胞超过80%,少数病例超过90%。结论C群流脑病例大多病情较重,尤其是小年龄组儿童,病情进展较快,病死率较高。C群流脑疫情发生时,要及时、规范、积极地救治病人,对危重病人应就地治疗。要减少高危易感人群聚集,对易感人群及时提供免疫保护。Objective In order to search the clinical features and epidemiological characteristics of epidemic cerebrospinal meningitis caused by serogroup C in Wuhu city and develop the strategy its prevention and control.Methods All the cases of epidemic cerebrospinal meningitis reported by the disease reporting information system were collected and the data were analyzed.Results The epidemic situation was an outbreak caused by Neisseria meningitides of serological group C.Students in middle school(age between 13 to ...

关 键 词：C群流行性脑脊髓膜炎 特征 分析 

分 类 号：R515.2[医药卫生—内科学]