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第五次破伤风国际讨论会于1978,6,18～23在瑞典Ronneby举行。会上宣读了80余篇论文,作者将其中的一些论文扼要介绍如下: 流行病学和病因 1977年全美国仅报道70例。世界卫生组织的Bytchenko估计:在每年1百万破伤风死亡病例中,至少有90万例为新生儿破伤风。在尼日利亚的拉各斯市,破伤风仍相当流行。450名病人中有72.4％为10～29岁,仅6.2％为50岁以上的病人。发病率最高的是家庭主妇,工匠和学生,专业人员仅4例。观察了发病率的季节性变化,在潮湿季节4、5、6月发病率最低。下肢是最常见的入侵口,但有22.7％的病人未检出入侵口。最常见的伤口是不需作手术修复的小外伤。85例是穿鞋即可防止的足部小外伤。仅50例在伤后需要药物治疗。
The Fifth International Symposium on Tetanus was held in Ronneby, Sweden on June 6, More than 80 papers were read out at the conference. The authors briefly described some of these papers as follows: Epidemiology and Etiology In 1977, only 70 cases were reported in the United States. Bytchenko of the World Health Organization estimates that at least 900,000 of the 1 million tetanus deaths each year are neonatal tetanus. Tetanus is still quite prevalent in Lagos, Nigeria. Of 450 patients, 72.4% were 10-29 years old and only 6.2% were patients over 50 years of age. The highest incidence of housewives, artisans and students, professionals in only 4 cases. Seasonal changes in morbidity were observed, with the lowest rates of morbidity in April, May and June. Lower extremity was the most common invasion, but 22.7% of the patients did not detect the invasion. The most common wounds are small injuries that do not require surgical repair. 85 cases are shoes to prevent small foot injuries. Only 50 patients needed medical treatment after the injury.