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耒阳市集贤乡兴旺村1991年8月,因分割、食用患炭疽病牛肉所致一起人间炭疽病暴发流行。经调查系40年老疫区所致新的暴发。 1 流行情况 1991年8月2～13日共发病26人,发病率18.51％,其中皮肤炭疽19例,肠炭疽7例。分布3个自然村24户。发病集中在8月4～6日计14例占53.85％。年龄10～69岁,以19～40岁为主,占61.54％,男性16例,女性10例。8月中旬经疫区处理后疫情平息。 2 临床特征和治疗 26例患者根据接触史、临床表现、实验室检查确诊。个案调查分析,22例体温在38～41℃,皮肤黑痂、溃疡、水肿19例,腹痛6例,休克4例,血样便2例,水样便5例。
Xingyang Jixian Township prosperous village 1991 August, due to segmentation, consumption of anthrax beef caused by human anthrax outbreak epidemic. A new outbreak caused by the 40-year-old epidemic area was investigated by the Department of Investigation. 1 prevalence August 2 to 13, 1991 a total of 26 people were sick, the incidence rate of 18.51%, of which 19 cases of skin anthrax, intestinal gangrene in 7 cases. Distribution of three villages 24 households. The incidence concentrated in August 4 ~ 6, accounting for 14 cases accounted for 53.85%. Aged 10 to 69 years old, 19 to 40 years old, accounting for 61.54%, 16 males and 10 females. In mid-August the epidemic subsided after treatment. 2 clinical features and treatment of 26 patients based on contact history, clinical manifestations, laboratory tests confirmed. According to the case analysis, 22 cases of body temperature at 38 ~ 41 ℃, skin black scab, ulcer and edema in 19 cases, abdominal pain in 6 cases, shock in 4 cases, 2 cases of blood samples, 5 cases of water samples.