新疆沙湾县三例鼠疫的临床报告  

Three Cases of Plague in Shawan County: A Clinical Report

作　　者：王所生 黄必金 哈德力汗 刘永福 伍晓芳 王朝举[2] 杨凯[2] 艾尔肯[3] 于心[3] 赵飞[3] 刘成全[3] 

机构地区：[1]新疆沙湾县卫生防疫站 [2]新疆沙湾县人民医院 [3]新疆地方病防治研究所

出　　处：《地方病通报》1990年第4期63-65,共3页Endemic Diseases Bulletin

摘　　要：1988年8月4日于新疆沙湾县天山山地后山N43°35′、E85°10′,海拔2770米处发现一名急死病人。死者马曼,男,26岁,哈族,牧民。经流行病学追溯调查,死者系因剥旱獭皮感染鼠疫而死亡。并经细菌学检验证实。尸检时未发现有皮下淋巴结肿,为败血症继发肺鼠疫而死。患者马曼,死后第3天,即8月7日有2名续发患者,这两名患者均为马曼患病期间的密切接触者,经临床和细菌学检验确诊为原发性肺鼠疫。由于早期发现和及时治疗,后2名患者均痊愈。A case of sudden death occourred in a mountainous area in the Tianshan Mountains (43? 35' N, 85? 10' E, 2770m above sea level) in August 4, 1988, the dead was a 26-year male herdsman of Kazak nationality. Epidemio logic and bacteriological studies indicated that the man died of plague by skinning a marmota. No subcutaneous lymphadencctasis was found, suggesting that the man was suffering from septemia seconded by pneumonic plague. Another man and a pupil who had close contact with the dead were also infected with plague 3 days later. Thanks to the early diagnosis and intensive treatment, the latter 2 patients were recovered.

关 键 词：鼠疫 败血症 肺鼠疫 新疆 

分 类 号：R516.8[医药卫生—内科学]