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目的了解奉节县黄村小学2008年发生的一起疑似流感病例的特征,为防治流感工作提供科学依据。方法对奉节县黄村中心小学疑似流感病例人群进行调查,并抽取有典型症状的5名病例采集咽拭子样标本5份,采集血清样本5份进行实验室检测。结果 2008年5月奉节县黄村小学45人出现发热、头痛、咽痛等疑似流感的爆发疫情,其中男性19人,女性26人;发病年龄在6～12岁,其中10～12岁年龄段发病人数最多,达35人(77.78%)。采集病人咽拭子标本5份,未分离出甲型流感病毒;采集血清标本5份进行检测,全部阴性。诊断为群体性癔症。结论在调查处理学校突发公共卫生事件中,因小学生心理易受误导,应慎重辨别真伪,寻找真正病因,避免造成不良影响。
Objective To understand the characteristics of a suspected flu case that occurred in 2008 in Huangcun Primary School of Fengjie County and provide a scientific basis for the prevention and treatment of influenza. Methods A total of 5 cases of suspected swine influenza in Huangcun Central Primary School of Fengjie County were enrolled in this study. Five of the 5 cases with typical symptoms were collected, and 5 serum samples were collected for laboratory testing. Results In May 2008, 45 out of 45 people in Huangcun Primary School of Fengjie County developed fever, headache and sore throat. Among them, 19 were males and 26 were females; the age of onset was from 6 to 12 years, of which 10 to 12 years of age The largest number, up to 35 people (77.78%). 5 samples of throat swabs were collected, no influenza A virus was isolated; 5 serum samples were collected for detection, all negative. Diagnosis of group hysteria. Conclusion In investigating and dealing with sudden public health incidents in schools, pupils should be psychologically misleading, the authenticity should be carefully discerned, the real cause should be looked for, and adverse effects should be avoided.