2012年理塘县人间鼠疫调查结果分析

发布时间：2018-03-06 12:13

本文选题：理塘县　切入点：人间鼠疫　出处：《现代预防医学》2015年02期 　论文类型：期刊论文

【摘要】：目的分析2012年理塘县人间鼠疫疫情,为人间鼠疫处置提供科学依据。方法运用流行病学调查方法,并结合临床表现和实验室检测结果。结果从死者的右腋下淋巴穿刺液、右腋下淋巴结、肋骨和皮下血棉拭子分离出鼠疫菌;自毙喜马拉雅旱獭股骨分离出鼠疫菌;IHA检测血清52份,结果均为阴性;RIHA检测人体及旱獭标本悬液10份,阳性8份,最高滴度为1∶40 960。结论通过流行病学调查、临床表现和实验室检测结果,确认死者是感染鼠疫菌而引起腺鼠疫继发败血型鼠疫导致死亡;在自毙旱獭分离出鼠疫菌确定理塘县为鼠疫自然疫源地,动物鼠疫流行猛烈,人间鼠疫和动物间鼠疫并发。
[Abstract]:Objective to analyze the epidemic situation of human plague in 2012 and to provide scientific basis for the disposal of human plague. Methods Epidemiological investigation method was used in combination with clinical manifestations and laboratory results. Results the puncture fluid was obtained from the right axillary lymph node of the deceased. Yersinia pestis was isolated from the right axillary lymph nodes, ribs and subcutaneous blood cotton swabs. IHA isolated from the femur of Marmota Himalayan was tested for 52 serum samples. The highest titer was 1:40 960.Conclusion through epidemiological investigation, clinical manifestations and laboratory results, the dead were confirmed to be infected with Yersinia pestis and caused by plague secondary septic plague resulting in death. The Yersinia pestis isolated from the dead marmot confirmed that the natural foci of plague were in Litang County, the plague of animals was violent, and the plague between human and animal was complicated.
【作者单位】：甘孜州疾病预防控制中心;四川省疾病预防控制中心;理塘县疾病预防控制中心;
【基金】：四川省卫生厅科研课题(130526)
【分类号】：R516.8

【相似文献】