儿童狂犬病53例临床分析
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Clinical analysis of rabies cases in 53 children
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    摘要:

    目的:总结狂犬病的流行病学特点和临床特征。方法:回顾分析重庆医科大学附属儿童医院2006年11月-2011年12月收治的53例狂犬病患者住院病例资料。结果:53例患儿中,年龄最小1岁3月,最大14岁,平均年龄7.50岁;男女比例为2.31∶1;47例有明确暴露史的患者中,被狗咬伤43例,被猫抓伤4例;暴露后仅有7例注射了狂犬病疫苗,1例至医院进行清创处理,无1例注射免疫球蛋白;临床表现出现发热的有77.36%,有恐水、恐风表现的占69.81%,33.96%出现抽搐症状;34例患儿家属放弃治疗出院,19例在住院期间死亡,4例进行了尸检。结论:狂犬病病死率高,预后差。儿童是狂犬病的高危人群,应引起家长及医务人员的高度重视。

    Abstract:

    Objective:To summarize the epidemiology and clinical feathers of rabies in children. Methods:Clinical data of 53 diag-nosed rabies cases in the Children’s Hospital of Chongqing Medical University from November 2006 to December 2011 were retro-spectively analyzed. Results:Age of the 53 children was from 1 year and 3 months to 14 years with an average of 7.5 years. Gender ratio was 2.31∶1. Among the 47 cases which had clearly exposure history,43 were attacked by dogs and 4 scratched by cats;only 7 did rabies vaccination and 1 treated the wound in hospital after the bite,none took immunoglobulin. According to clinical manifesta-tion,77.36% had fever,69.81% had hydrophobia and fear of wind,33.96% had hyperspasmia. Nineteen patients died in hospital,of which 4 did autopsy. Parents of 34 patients gave up the therapy. Conclusions:Rabies is a zoonosis with high mortality and poor prog-nosis;children are of high risk and should be timely realized by parents and doctors.

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杨先涛,朱朝敏.儿童狂犬病53例临床分析[J].重庆医科大学学报,2013,(8):949-952

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  • 在线发布日期: 2013-09-05
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