| 杨静,更登洛,刘启环,麦珠拉姆.一起由呋喃丹引起的急性中毒事件的调查分析[J].中华流行病学杂志,2019,40(5):571-573 |
| 一起由呋喃丹引起的急性中毒事件的调查分析 |
| Investigation of acute poisoning event caused by carbofuran |
| 收稿日期:2018-10-31 出版日期:2019-05-17 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.05.015 |
| 中文关键词: 呋喃丹 中毒 调查分析 |
| 英文关键词: Carbofuran Poisoning Investigation |
| 基金项目: |
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| 中文摘要: |
| 目的 分析一起由呋喃丹引起的酥油茶急性中毒事件的流行特征和处置过程，为今后类似事件的调查处置提供科学依据。方法 对2018年丹巴县梭坡乡发生的一起急性中毒事件开展现场流行病学调查、动物实验和实验室检测，采用描述性流行病学方法对该起疫情资料进行分析。结果 本次疫情共有病例26例，涉及3个村的村民，总罹患率为41.27%，无死亡病例。26例病例均于饮用酥油茶后数分钟发病，主要临床表现为呕吐、头晕、瞳孔缩小、恶心等。现场1只犬饮用样品酥油茶后发病。实验室在所采集的样品酥油茶、呕吐物、糌粑中同时检出呋喃丹。结论 本起疫情是呋喃丹引起的急性中毒事件，为点源传播模式。应急处置中有效流行病学调查，简易的动物实验可为快速采样检测、病例救治提供方向；病例及时送医救治，严格落实源头控制措施是降低伤亡，防止事件扩大的关键环节。 |
| 英文摘要: |
| Objective To analyze the epidemiological characteristics and response process of an acute poisoning event caused by carbofuran in buttered tea and provide scientific evidence for the investigation of similar events in the future. Methods Field epidemiological survey, animal experiments and laboratory tests were conducted for an acute poisoning event occurred in Suopo township of Danba county of Sichuan province in 2018. Descriptive epidemiological method was used to analyze the epidemiological characteristics of the acute poisoning event. Results A total of 26 poisoning cases occurred in 3 villages. The total attack rate was 41.27%. No death cases were reported. The 26 cases occurred in a few minutes after drinking buttered tea, the main symptoms were vomit, dizziness, miosis and nausea. A dog showed the same symptoms after drinking a sample of buttered tea. Carbofuran was detected in buttered tea, vomitus and zanba samples. Conclusions The acute poisoning was caused by carbofuran in buttered tea, the transmission mode was point source spread. Effective epidemiological investigation and simple animal experiment can provide evidence for the rapid sample detection and clinical treatment of cases in emergency response. Timely case treatment and strict poisoning source control are the key measures to reduce casualty and prevent the spread of poisoning. |
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