| 王传林,刘斯,陈庆军,邵祝军,吴纪峰,范昭,王培戈,朱政纲,兰频,李建国,郑以山,何武兵,徐哲,唐卫东,逄金满,班志红,杨树青,丁文涛,郑希福,张齐龙.非新生儿破伤风诊疗规范[J].中华流行病学杂志,2020,41(2):162-166 |
| 非新生儿破伤风诊疗规范 |
| Specifications for diagnosis and treatment of non-neonatal tetanus |
| 收稿日期:2019-11-13 出版日期:2020-02-24 |
| DOI：10.3760/cma.j.issn.0254-6450.2020.02.005 |
| 中文关键词: 破伤风 规范 非新生儿 诊断 治疗 |
| 英文关键词: Tetanus Specifications Non-neonatal Diagnosis Treatment |
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| 中文摘要: |
| 破伤风分为新生儿破伤风和非新生儿破伤风。我国已于2012年消除了新生儿破伤风，但非新生儿破伤风仍是一个严重的公共卫生问题。非新生儿破伤风重症患者在无医疗干预的情况下，病死率接近100%，即使经过积极的综合治疗，全球范围病死率仍为30%~50%，是一种极为严重的潜在致命性疾病。为规范我国非新生儿破伤风诊疗行为，提高医疗质量，保障医疗安全，特制定本规范。本规范包括了非新生儿破伤风的病原学、流行病学、发病机制、临床表现及实验室检查、诊断、鉴别诊断、分级、治疗等方面内容。 |
| 英文摘要: |
| Tetanus consists of neonatal tetanus and non-neonatal tetanus. Non-neonatal tetanus remains a serious public health problem, although neonatal tetanus has been eliminated in China since 2012. Non-neonatal tetanus is a potential fatal disease. In the absence of medical intervention, the mortality rate of severe cases is almost 100%. Even with vigorous treatment, the mortality rate is still 30%-50% globally. These specifications aim to regulate non-neonatal tetanus diagnosis and treatment in China, in order to improve medical quality and safety. These specifications introduce the etiology, epidemiology, pathogenesis, clinical manifestations and laboratory tests, diagnosis, differential diagnosis, grading and treatment of non-neonatal tetanus. |
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