| 广州军区后勤部卫生部流行性腹泻研究组.流行性腹泻的调查研究[J].Chinese journal of Epidemiology,1983,4(4):240-243 |
| 流行性腹泻的调查研究 |
| A Study of Epidemic Diarrhoeal Diseases |
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| Abstract: |
| 1969~1973年,对两广及湖南三省流行的一种急性腹泻进行了调查研究。在流行病学方面,其地区或大单位发病率一般在20%左右,伙食单位则为2.1~93.6%。流行季节在4~6月约50天左右,发病没有地区和人群分布上的差别,没有儿童多发倾向。调查表明其传染源是人,传播途径为消化道。在临床方面,主要症状为头昏头痛(平均占51.5%),疲乏衰竭(87.29%),全身酸痛不适(49.6%),厌食(87.59%),急性腹泻(100%),恶心(32.7%),呕吐(10.8%),腹胀、腹痛、腹鸣(69.0~75.3%),屁多(45.7%),里急后重(17.6%)发热(19.7%).有10%左右的有轻微的上呼吸道症状。白血球计数和分类大多正常,肝功、乙状结肠镜、X光胸透检查正常。潜伏期最短34、最长97、平均52小时。无病死,无形成慢性者。用常规治疗腹泻药物效果不佳。以多种培养基及单层细胞组织培养,对百份以上粪标本行病原分离,均未分得病原微生物。根据流行病及临床主要特征确定为流行性腹泻。 |
| English Abstract: |
| An epidemic diarrhea in Guangxi, Guangdong and Hunan provinces during 1969-1973 wasstudiedi. The overall incidence rate of the disease in the epidemic areas was about 20%. The rates fluctuated from 2.1% to 93.6% in the various places. The epidemic season occurred between April and June, for about 50 days.There were no differences in the distribution of the disease in populations and geography. The predominance of occurrence of the disease in children was not observed. The source of infection was infected patients, and the mode of transmission was fecal-oral. The main clinical symptom were bad headache (51.5%), fatigue and exhaustion (87.2%), malaise (49,6%). anorexia (87.5%), acute diarrhea (100.0%), nausea (32.7%), vomiting (10.8%), abdominal distension, paia and borborygmus (69.0-75.3%), much wind (45.7%), tenesmus (17.6%), fever (19.7%) and symptoms of slight upper respiratory tract infection (10.0%), The average incubation period was 52 hours (range 34-97 hours). Neither deaths nor chronic disease were investigated. The routine treatment used for diarrhea was not effective for the disease. The pathogen was not isolated, although more than 100 fecal specimen-of patients were tested by conventional bacterium culture and tissue-culture techniques. On the basis of epidemiological and clinical characteristics, the disease was diagnosed as an epidemic diarrhea. |
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