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目的对沈阳市某学校发生的一起群体性发热呼吸道疾病进行调查与处置,以明确诊断,控制疫情。探讨急性呼吸道感染暴发流行的流行病学特征及病原学特征。方法综合采用现场流行病学调查及实验室检测等方法。结果共发生24例发热病例,全部为学生,罹患率为2.64%。这24例患者中,发热21例,咽痛20例,头痛20例,咳嗽17例,流涕10例,全身酸痛10例,发病患者中无重症病例及死亡病例出现疾病。10份咽拭子标本5份为腺病毒阳性。结论这是疫情因学生发病后带病上课,引起的腺病毒14型发热伴呼吸道传染病暴发疫情。
Objective To investigate and dispose of a group of febrile respiratory diseases in a school in Shenyang in order to make a clear diagnosis and control of the epidemic. To investigate the epidemiological and etiological characteristics of the outbreak of acute respiratory infection. Methods integrated with on-site epidemiological survey and laboratory tests and other methods. A total of 24 cases of fever, all students, the attack rate was 2.64%. The 24 patients, fever in 21 cases, 20 cases of sore throat, headache in 20 cases, 17 cases of cough, runny nose in 10 cases, 10 cases of systemic soreness, the incidence of patients without severe cases and deaths disease. 5 samples of 10 throat swabs were positive for adenovirus. Conclusion This is the outbreak of the epidemic because of illness after the onset of students, caused by the fever of adenovirus 14 with respiratory outbreaks.