某医院手术后病人急性结膜充血综合征暴发的流行病学调查  

An Epidemic Survey for the Patients Who Were Attacked by Conjunctival Congestion Syndrome after the Opertion

作　　者：王本利[1] 常鲁山 肖楠[1] 马小芳[1] 滕伟[1] 

机构地区：[1]青岛市疾病预防控制中心,山东省266033

出　　处：《医学动物防制》2008年第3期194-196,共3页Journal of Medical Pest Control

摘　　要：目的对35例妇科手术患者感染急性结膜充血综合征进行流行病学调查,以确定是否为感染性疾病。方法采用妇科急性结膜充血综合征病例与同期妇科住院手术病例对照研究方法,对急性结膜充血综合征暴发的相关因素进行分析。结果35例急性结膜充血综合征暴发病例均有手术史,主要集中在妇科,术后第1天发病17人,第二天发病14人,患者无接触史,无二代病例出现,手术室及病房分散度较大。手术与麻醉方式均为常规式,无集中趋势。12例急性结膜充血综合征病人眼分泌物病原微生物分离,没有检出致病菌。病人应用抗生素和抗病毒药物治疗没有特殊疗效。采取了严格的消毒隔离措施没能控制病情继续发生。结论急性结膜充血综合征暴发不符合感染性疾病特点。Objective To survey 35 cases with conjunctival congestion syndrome after gynecological operation and determine whether or not there be infectious diseases among these syndromes. Methods In this case - control study, patients with acute conjunctival congestion syndrome and those without the syndrome after gynecological operation were sdudied simultaneously. Then the correlation outbreak factors of acute conjunctival congestion syndrome were anylized. Results The syndrome was onset on 17 cases 1 day after operation, and 14 cases 2 days after operation. All cases had no contact history, no secondary casese occurrence. There were wide dispersity in operating room and ward. And there was no central tendency on the routine operation and anesthesia procedure. No pathogenic microorganism were isolated and detected in discharges of eye from 12 cases. Also antibiotics and antiviral drug treatment had no special effect on the syndrome. Furthermor, the stringent sterilization and isolation could not control the occurrence of the syndrome. Conclusion The outbreak of acute conjunctival congestion syndrome is different from that of infectious disease.

关 键 词：急性结膜充血综合征 妇科手术 感染 流行病学调查 

分 类 号：R777.39[医药卫生—眼科]