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目的了解昆山市2例人感染H7N9禽流感病例的临床和流行病学特征,为今后的防控工作提供科学依据。方法采取与病人及其家属面对面访谈的方法,获取病人的流行病学相关信息,对病例的临床特征、流行病学特征和防控措施进行描述性分析。结果 2例病例均为重症病例。病例一为老年男性,2013年4月6日发病,主要症状是发热、咳嗽、咳痰,4月16日因救治无效死亡;病例二为年轻女性,2013年4月7日发病,首发症状为发热伴咳嗽,5月16日康复出院。发病前2周内均有农贸市场买菜史,但无禽类及活禽市场密切接触史。2例病例间无关联。所有密切接触者(15人)未出现异常。综合防控措施实施后,昆山市未出现类似病例。结论 2013年4月至2014年3月昆山市人感染H7N9禽流感呈散发状态;2例H7N9禽流感病例流行病接触史不明确;综合防控措施起到了很好的效果,但高发季节防控任务依然艰巨。
Objective To understand the clinical and epidemiological characteristics of two cases of H7N9 bird flu in Kunshan and provide a scientific basis for future prevention and control. Methods A face-to-face interviews with patients and their families were conducted to obtain the epidemiological information of the patients and the descriptive analysis of the clinical features, epidemiological characteristics and prevention and control measures. Results 2 cases were severe cases. The first case was an elderly male with onset on April 6, 2013. The main symptoms were fever, cough and expectoration, and died on April 16 due to ineffective treatment. Case 2 was a young woman with onset on April 7, 2013 and the first symptom was Fever with cough, May 16 rehabilitation. Before the onset of 2 weeks have farmers market to buy food history, but no poultry and live poultry market close contact with history. No correlation was found between the two cases. All close contacts (15) did not abnormalities. After the implementation of comprehensive prevention and control measures, Kunshan did not appear similar cases. Conclusion The H7N9 bird flu was infected in Kunshan City from April 2013 to March 2014. The epidemic history of H7N9 bird flu was not clear. The comprehensive prevention and control measures played a very good effect. However, The mission is still arduous.