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目的分析本地区动物伤人的发病情况及观察狂犬疫苗接种的效果。方法依据《广东省2005年狂犬病暴露人群监测方案》和《广东省狂犬病暴露后医学处理工作指引(2007年版)》的规定对2091例动物伤病人进行医学处理,分类统计和发病追踪。结果2091例病人中犬伤1563例占74.8%,年龄以15～44岁为主,占71.6%。伤口部位以上肢为主占55.4%,1951人接种维尔博,140人接种瑞必补尔,接种后观察8个月以上无一例发生狂犬病。结论犬伤病例中81%为宠物犬所伤,是狂犬病暴露的最危险动物,喂狗和主动亲近狗是被宠物犬咬伤的最主要原因,暴露后接种维尔博效果安全可靠。
Objective To analyze the incidence of animal wounding in this area and to observe the effect of rabies vaccination. Methods The medical treatment, classification and follow-up of 2,091 cases of animal injuries were conducted according to the provisions of “Monitoring Program of Rabies Exposure in Guangdong Province in 2005” and “Guideline of Medical Treatment of Rabies after Exposure in Guangdong Province (2007 Edition)”. Results Among the 2091 cases, 1563 cases of canine injuries accounted for 74.8%. The age ranged from 15 to 44 years old, accounting for 71.6%. 55.4% of the patients were mainly upper limbs, 1951 were inoculated with Wilbo, and 140 were inoculated with Ruibi Er Er. After inoculation, no rabies was observed in more than 8 months. Conclusion 81% of dog cases were injured by pet dogs, which were the most dangerous animals exposed by rabies. The most important reason for dogs bitten by pet dogs and active dogs was safe and reliable after inoculation.