中国大陆首次发现红火蚁伤人事件调查报告  

A Survey on Human Bitten by Red Imported Fire Ants in Mainland for the First Time

作　　者：吴能简[1] 卢文成[1] 罗会明[1] 何紫电 何剑峰[1] 梁康斌 杨春[2] 柯建义 肖康寿 

机构地区：[1]广东省疾病预防控制中心流行病防治研究所,广州510300 [2]湛江市疾病预防控制中心 [3]吴川市疾病预防控制中心

出　　处：《中国媒介生物学及控制杂志》2005年第5期342-344,共3页Chinese Journal of Vector Biology and Control

基　　金：广东省现场流行病学培训项目

摘　　要：目的了解吴川市Z村被红火蚁咬伤病例的患病率、三间分布、临床表现及其治疗情况,为预防控制提供科学依据.方法用一览表问卷普查Z村村民被咬伤的流行病学特征、临床表现和治疗情况.结果全村69户都有人被叮咬过,累计患病率93.8%(289/308),1999年发现疑似红火蚁伤人,2002～2004年病例逐年增加;无性别、年龄差异;在农田务农被叮咬者占78.5%;临床表现以轻微的痒痛(100%)、红润(99.2%)、水(脓)疱(98.8%)、丘疹(59.0%)为多见,少见全身过敏(0.8%)和休克(0.8%)等严重症状,咬伤部位以四肢(81.7%)为主,85.3%病例自己用药,使用消炎、抗过敏药治疗效果好,无死亡病例.结论村民普遍被叮咬,临床表现以局部表现为主,预后良好.Objective To study the morbidity rate, epidemical distribution, clinical symptoms and treatment of the cases bitten by red imported fire ants （RIFA）, and to provide the scientific evidence for disease control and prevention. Methods All the peasant bitten by RIFA in Z village were screened and investigated to collect their epidemiological characters, clinical symptoms and treatments. Results Each family in the village had one or more members bitten by RIFA. The accumulative morbidity rate was 93.8% （289/308）. The first suspect case bitten by RIFA occurred in 1999, and cases had been increasing year by year since then. Among the persons who were bitten by RIFA, there was no significant difference between male and female and among the persons from different ages. 78.5 % peasants were bitten in the field while cultivating, in which 81.7 % were bitten on four limbs. The clinic symptoms were mainly including itch-pain （100%）, ruddy （99.2%）, blain （98.8%）, pimple （59.0 % ）, and severe symptoms such as systemic hypersusceptibility （0.8 % ） and shock （0.8 % ） rarely occurred. 85.3 % patients treated themselves, and no one died of the bite of RIFA. Anti-inflammation and anti-hypersusceptibility drugs had a good effectiveness. Conclusion Peasants are bitten by RIFA quite widely, but the clinic symptoms are mainly represented in localized part and patients have good prognoses.

关 键 词：伤害 流行病学调查 红火蚁 调查报告 伤人事件 首次发现 中国大陆 临床表现 死亡病例 流行病学特征 

分 类 号：S435.62[农业科学—农业昆虫与害虫防治] TP393.4[农业科学—植物保护]