接种A群流脑疫苗和乙脑疫苗引起急性播散性脑脊髓炎1例报告  

A report about acute disseminated encephalomyelitis after injecting meningococcus A vaccine and encephalitis vaccine

作　　者：王秀芹[1] 杨淑兰[1] 李建钦 

机构地区：[1]厦门市海沧区疾病预防控制中心传防科,福建厦门361026 [2]厦门市海沧区新阳街道社区卫生服务中心防疫科,福建厦门361027

出　　处：《中国当代医药》2017年第24期138-140,共3页China Modern Medicine

摘　　要：一名身体健康、无接种禁忌症的儿童,在同时接种A群流脑多糖疫苗和乙脑减毒活疫苗后,罹患急性播散性脑脊髓炎。根据预防接种异常反应鉴定办法,市级专家组马上开展个案调查,在分析接种、就诊、疫苗和注射器使用等情况后,最终诊断该疑似预防接种异常反应(AEFI)为预防接种异常反应,并向政府申请专项经费,给予相应的预防接种异常反应补偿。因患儿未及时就诊,其预后差,故强调接种人员要加强接种24 h内主动监测的力度,家长在儿童接种24 h内要密切关注儿童身体状况,以便及时发现AEFI,采取相应措施,保护儿童的健康。One child who was healthy and without contraindications suffered acute disseminated encephalomyelitis after injecting meningococcus a vaccine and encephalitis vaccine at the same time.By identificated method of abnormal reaction about immunization,municipal experts group immediately launched status survey,after analyzing the inoculation situation,the treatment situation,the use of vaccines and syringes,and so on,the suspected preventive inoculation response（AEFI） was diagnosed as an inoculation response finally.And apply compensation for the child from government′s special funds,which provided for abnormal reaction following immunization.The child′ s prognosis is not so good owing to delay treatment,so in order to find the AEFI without delay and protect the health of children,inoculational staff should strengthen the active monitor after vaccination in 24 h,parents should pay more attention to children′s health after vaccination in 24 h.

关 键 词：疫苗 接种 脑脊髓炎 急性 播散性 

分 类 号：R186.1[医药卫生—流行病学]