使中世纪欧洲毁灭的鼠疫目前在美国西部呈地方性流行。由于人们到以上地区旅游的结果,而将本病带到该国的情况至少发生9例病人。因为鼠疫具有各样的临床表现,且在初诊的若干小时内可引起死亡,故以下作法是必要的:包括鼠疫与多种热性病的鉴别诊断和对该病有足够的熟悉,同时为确保快速诊断而配备诊断的程序。在美国与非旅 The plague that destroyed the Middle Ages in Europe is now endemic in the western United States. As a result of the travel of people to these areas, at least 9 patients have been reported in bringing the disease to the country. Because plague has a variety of clinical manifestations and can cause deaths within a few hours of first visit, it is necessary to include the differential diagnosis of plague and various febrile diseases and familiarity with the disease and to ensure rapid Diagnosis and diagnostic procedures. In the United States and non-travel