| 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].Chinese journal of Epidemiology,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 |
| Received:November 13, 2019 |
| DOI：10.3760/cma.j.issn.0254-6450.2020.02.005 |
| KeyWord: 破伤风 规范 非新生儿 诊断 治疗 |
| English Key Word: Tetanus Specifications Non-neonatal Diagnosis Treatment |
| FundProject: |
| Author Name | Affiliation | E-mail | | Wang Chuanlin | Emergency Department/Trauma Center, Peking University People's Hospital, Beijing 100044, China | wangchuanlinvip@163.com | | Liu Si | Emergency Department, First Hospital of Peking University, Beijing 100034, China | | | Chen Qingjun | Emergency Department, Beijing Hepingli Hospital, Beijing 100013, China | | | Shao Zhujun | National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Wu Jifeng | Surgical Department, Shijiazhuang Fifth Hospital, Shijiazhuang 050021, China | | | Fan Zhao | Emergency Department, Peking University Shenzhen Hospital, Shenzhen 518036, China | | | Wang Peige | Emergency Department, The Affiliate Hospital of Qingdao University, Qingdao 266003, China | | | Zhu Zhenggang | Rabies Clinic, Wuhan Center for Disease Control and Prevention, Wuhan 430015, China | | | Lan Pin | Department of Emergency, Lishui Hospital, Zhejiang University School of Medicine, Lishui 323000, China | | | Li Jianguo | Emergency Department, Hebei General Hospital, Shijiazhuang 050051, China | | | Zheng Yishan | Department of Critical Care Medicine, The Second Hospital of Nanjing, Nanjing 210003, China | | | He Wubing | Provincial Clinical Medical College, Fujian Medical University, Fuzhou 350001, China | | | Xu Zhe | Centre of Infectious Diseases, The Fifth Medical Centre, PLA General Hospital, Beijing 100039, China | | | Tang Weidong | Suzhou Road Hospital, Xinjiang Autonomous Region People's Hospital, Department of Orthopedics, Urumqi 830000, China | | | Pang Jinman | Thyroid and Breast Surgery, the Third Hospital of Jinan, Jinan 250132, China | | | Ban Zhihong | Emergency Department, Guangxi International Zhuang Medicine Hospital, Nanning 530200, China | | | Yang Shuqing | Emergency Department, Chongqing Emergency Medical Center/Central Hospital of Chongqing University, Chongqing 400014, China | | | Ding Wentao | Department of General Surgery, Tianjin First Central Hospital, Tianjin 300192, China | | | Zheng Xifu | Department of Orthopedic Surgery, First Affiliated Hospital, Dalian Medical University, Dalian 116011, China | | | Zhang Qilong | Department of Emergency and Critical Care Medicine, the Jiangxi Chest Hospital, Nanchang 330006, China | |
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| Abstract: |
| 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。 |
| English Abstract: |
| 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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