论文部分内容阅读
1991年12月中旬至1992年1月下旬,南京大学发生成人麻疹暴发。首例病人发生于1991年12月19日,1992年1月10~13日发病6例;1月20~25日发病9例;至1月31日共发病17例,罹患率为2.1‰。发病呈现两个高峰。患者男性15例,女性2例,年龄于18~21岁之间。患者临床表现均具发热(39~40℃)、上呼吸道炎症、眼结膜充血及皮疹等麻疹典型症状,9例患者(占52.94%)可见柯氏斑,皮疹消退后皮肤均有色素沉着。病例分布于5栋宿舍楼16间寝室,呈楼栋集中趋势,其中第4栋发病最多,共7人,11栋次之,发病5人,5栋发病3人,3栋及18栋各发病1人。寝室及班级分布较为分散,各有16间寝室及16个班级发生病例。此外1~4年级均有发病,以1、2年级为多共13例,占76.47%。所有病例均来自外地入学者,其中10例(占58.82%)来自农村,均否认麻疹疫苗
From mid-December 1991 to late January 1992, an outbreak of adult measles occurred at Nanjing University. The first patient occurred in December 19, 1991, January 1992, January 10 to 13 onset in 6 cases; January 20 to 25 onset in 9 cases; to January 31 were 17 cases of onset, the attack rate of 2.1 ‰. The incidence of two peaks. There were 15 males and 2 females, ranging in age from 18 to 21 years. Clinical manifestations of patients were all fever (39 ~ 40 ℃), upper respiratory tract inflammation, conjunctival hyperemia and rash and other typical symptoms of measles, 9 patients (52.94%) can be seen Koch spot, the skin subsided after the rash pigmentation. The cases were distributed in 16 dormitories of 5 dormitory buildings, with a concentrated tendency of buildings, of which 4 were the most affected, with 7 persons in total, 11 followed by 5 persons, 5 patients with 3 onset, 3 and 18 patients 1 person. Bedroom and class distribution is more scattered, each with 16 dormitories and 16 classes of cases. In addition, 1 to 4 grade have onset, to grade 1 and 2 for a total of 13 cases, accounting for 76.47%. All cases were from field students, of which 10 cases (58.82%) from rural areas, all denied measles vaccine