人感染猪链球菌病15例临床分析  

Clinical Analysis of 15 Cases of Human Infections with S.Suis Type 2

作　　者：周平[1] 叶蜀玉[2] 

机构地区：[1]四川省人民医院急救中心,四川成都610072 [2]四川大学华西医院,四川成都610041

出　　处：《华西医学》2007年第1期79-80,共2页West China Medical Journal

摘　　要：目的：探讨人感染猪链球菌病的临床特点。方法：回顾性分析四川省人民医院医科院附院在2005年7月。8月确诊的15例人感染猪链球菌病的临床特点。结果：15例患者均有接触病死猪肉史，潜伏期平均2。3天，临床表现分为普通型、脑膜炎型、休克型、混合型4型。患者血、脑脊液培养为猪链球菌2型。15例患者经抗感染、抗休克、降颅内压、对症支持治疗，除休克型1例死亡外．余14例均治愈。结论：人感染猪链球菌病是由猪链球菌2型引起的，人经直接接触病死猪而发病，无人感染人现象发生。早期就诊，早期使用有效的抗生素治疗是提高成活率的关键。Objective： To investigate clinical characteristics of 15 cases infected by S. suis type 2. Methods： 15 cases finally diagnosed as infections of S. suis type 2 in Sichuan provincial people＇ s hospital during July - August, 2005 were studied retrospectively. Results： All cases had direct contact history with in sick or death pigs with 2 - 3 days＇ incubation and clinical manifestations can be classified into four types： general, meningitis, shock and mixed type. S. suis type 2. was discovered in blood or C. S. F cultures. 14 cases were cured after the treatment of anti - infection, anti - shock, depressing ICF＇ and Supportive management except 1 case dead with shock. Conclusions： S. suis type 2 was the pathogenic bacteria of Human infections with S. suis. Human cases of S. suis occurred through direct contact with pigs in sick or death infected by S. suit and human - human transmission was not discovered. Early diagnosis and treatment and effective antibiotic therapy were key points for increasing the survival rate.

关 键 词：人感染猪链球菌病 猪链球菌2型 

分 类 号：R515[医药卫生—内科学]