目的掌握狂犬病流行规律,探讨其发病的原因和影响因素,为预防控制措施提供依据。方法对汉中市医疗机构诊断报告的45例狂犬病病例进行流行病学个案调查和分析。结果发病年龄50~岁占46.67%,5~岁组占4.44%;发病以农民为主(91.11%);潜伏期最长180 d,最短11 d,平均64.41 d;以普通流浪、家养犬为绝对优势暴露动物。45例病例中,有3例(6.67%)规范处理了伤口并接种了狂犬疫苗,有4例(8.89%)仅消毒伤口未规范冲洗,接种不及时,有38例(84.44%)未对伤口进行规范处置及预防接种。结论犬饲养量大,管理、健教工作不到位,人们对狂犬病的危害认知不足,暴露后伤口处理不及时不规范,不及时接种狂犬疫苗与注射抗狂犬病毒免疫球蛋白或抗狂犬病毒血清是狂犬病发病的主要原因。 Objective To grasp the epidemic law of rabies and to explore its causes and influencing factors so as to provide basis for prevention and control measures. Methods 45 cases of rabies in medical institutions in Hanzhong were investigated by epidemiological case analysis. Results The age of onset was 46.67% in the age of 50 years, 4.44% in the age group of 5 years, the incidence of peasants was 91.11%, the longest incubation period was 180 days and the shortest was 11 days, with an average of 64.41 days. Absolute advantage exposing animals. Among the 45 cases, wounds were vaccinated in 3 cases (6.67%) and vaccinated rabies vaccine. In 4 cases (8.89%), only disinfectant wounds were not standardized, and 38 cases (84.44% To regulate the treatment and vaccination. Conclusions The dog is not enough to be in charge of management, education and health education. People do not know enough about the harm of rabies. The treatment of the wounds after the exposure is not standardized. The vaccination of rabies vaccine and anti-rabies immunoglobulin or anti-rabies serum are The main cause of rabies.