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一、对疫情的调查分析(一)初步分析:该校“急性腹泻”流行发生于8~9月,1月内共发生患者47名。大多数起病急骤,有腹痛、腹泻,排粘液及(或)脓血便,部分有里急后重及左下腹压痛。大便经镜检发现有红、白细胞与吞噬细胞;培养有痢疾杆菌生长。根据流行季节、结合临床表现和实验室检查所见,应考虑为1次细菌性痢疾(简称菌痢)流行。47名患者分布在10个伙食单位,但以第八学员队为突出(37名),一般为1~5名。第八学员队“腹泻”流行,前后持续虽长达10
First, the investigation and analysis of the outbreak (A) a preliminary analysis: the school “acute diarrhea” epidemic occurred in August to September, a total of 47 patients within a month. Most of the sudden onset, abdominal pain, diarrhea, mucus and (or) purulent blood, some tenesmus and left lower quadrant tenderness. Stool by microscopy found red, white blood cells and phagocytes; culture Shigella growth. According to the popular season, combined with clinical manifestations and laboratory tests should be considered as a bacillary dysentery (bacillary dysentery) epidemic. 47 patients are distributed in 10 food units, but the eighth student team to highlight (37), usually 1 to 5. Eighth trainee team “diarrhea ” popular, although up to 10