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目的了解三峡库区兴山县狂犬病暴露者特点及暴露后处置情况,指导今后的防治工作。方法收集犬伤门诊暴露者登记资料,中国疾病预防控制信息系统兴山县2007年传染病报告信息。结果全县2007年就诊的狂犬病暴露者1 590人,其中以犬伤为主,共1 478例,占92.96%;猫伤64例,占4.03%;其他(鼠、兔)伤48例,占3.08%。发病一例,发病率0.63‰,死亡一例,病死率100%。暴露者男性多于女性,以青壮年为主,以冬季较少。全程足量接种狂犬疫苗1471例,占92.52%,伤口规范处理1241例,占78.05%,注射抗狂犬免疫球蛋白121例,占8.92%。结论科学及时地进行狂犬病暴露后处置,有针对性地采取控制措施,是预防狂犬病的有效手段。
Objective To understand the characteristics of rabies exposed in Xinshan County in the Three Gorges Reservoir Area and the post-exposure disposal situation, and to guide future prevention and treatment work. Methods To collect the registration data of outpatients with canine trauma and outbreaks of infectious diseases reported in 2007 by Xinyang County, China Disease Prevention and Control Information System. Results A total of 1 590 rabies exposed persons were found in 2007 in the county, of which 1 478 were dogs, accounting for 92.96%; cats were 64 (4.03%); other (rats and rabbits) were 48, accounting for 3.08%. A case of illness, the incidence of 0.63 ‰, a case of death, case fatality rate of 100%. More men were exposed than women, mostly young and middle-aged, but less in winter. Full vaccination rabies vaccine 1471 cases, accounting for 92.52%, wound treatment of 1241 cases, accounting for 78.05%, 121 cases of anti-rabies immunoglobulin injection, accounting for 8.92%. Conclusion Scientific and timely post-exposure rabies exposure and targeted control measures are effective measures to prevent rabies.