31例狂躁型狂犬病患者暴露情况及临床特点分析  

Analysis of Exposure and Clinical Features of 31 Patients with Furious Rabies

作　　者：蒋学友[1] 张建[1] 郑以山[1] 

机构地区：[1]东南大学第二附属医院急诊科,江苏南京210003

出　　处：《医学临床研究》2014年第7期1262-1264,共3页Journal of Clinical Research

基　　金：江苏省卫生厅预防医学科研课题（编号：Y2012075）

摘　　要：【目的】分析对狂犬病患者临床特点，提高对狂犬病的认识。【方法】对31例狂犬病患者的一般资料、临床特点及相关检测结果进行分析。【结果】本组狂犬病患者的临床表现属于狂躁型，大部分典型症状可以呈现，30例（96．7％）有恐水症，29例（93．5％）有怕风症。23例有明确暴露史患者，暴露后19例未认真清洗伤口，20例未接种狂犬疫苗，所有患者均未接种狂犬病免疫球蛋白，31例患者均于发病后2～8 d救治无效死亡。【结论】通过既往暴露病史及临床症状可以及时诊断狂犬病。应进一步加强对群众预防狂犬病知识的健康教育。Objective To improve the recognition about rabies through analyzing the clinical features of rabies .[Methods] The general data ,clinical features and relevant examination results of 31 patients with rabi-es were analyzed .[Results]Clinical manifestations of patients with rabies in the group was furious .The most typical symptoms could be presented .Hydrophobia was observed in 30 patients（96 .7% ） and aerophobia was observed in 29 patients（93 .5% ） .Among 23 patients with exposure history ,19 patients did not carefully clean their wound after exposure ,and 20 patients did not receive rabies vaccine .All patients did not receive rabies immunoglobulin vaccine .The 31 patients died at 2～8 days after the onset in spite of active therapy .[Conclusion]Previous exposure history and clinical symptoms can be used for the prompt diagnosis of rabies .Heath education about the effective measures of the prevention of rabies after exposure should be strengthened .

关 键 词：狂犬病 预防和控制 狂犬病 诊断 健康教育 

分 类 号：R512.2[医药卫生—内科学]