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本文对1986~1987年两年19例狂犬病死亡病例进行了个案调查分析:结果表明本组病例均有被犬咬伤史,犬是当地狂犬病主要传染源,病例分布于80%的乡镇,呈点状散发。两年除12月份未发生外,每月份均有发生,5~10月发病较多,占85%,7~8月为发病高峰,占58%,发病年龄以14岁以下的小学生和学龄前儿童为主,占60%,年龄最小的11岁,最大的60岁。农村小学生居首位,占55%,农民36%,城镇居民占9%。男多于女,男性占75%,女性占25%。咬伤头部3例,上肢7例,下肢9例。潜伏期最短20夫,最长一年半,以头面部伤潜伏期最短。病程一般在3~5天,最长的8天。本组病例96%均有典型的狂犬病状,也有个别不典型病例。
In this paper, 19 cases of rabies death from 1986 to 1987 were investigated by case analysis. The results showed that all the cases were history of dog bites. Dogs were the main source of local rabies. The cases were distributed in 80% Exhausted. Two years in addition to December did not happen, the monthly occurrence occurred, 5 to 10 months more incidence, accounting for 85%, 7 to August peak incidence, accounting for 58% of the age of onset to 14-year-old pupils and preschool Children, accounting for 60%, the youngest 11 years old, the largest 60 years old. Rural primary students ranked first, accounting for 55%, farmers 36%, urban residents accounted for 9%. More men than women, men 75%, women 25%. Bit head injury in 3 cases, upper limb in 7 cases, lower limb in 9 cases. The longest incubation period of 20 husbands, up to a year and a half, the shortest head and facial injuries incubation period. Course of disease in 3 to 5 days, the longest 8 days. 96% of this group of patients have typical rabies, but also some cases of atypical pneumonia.