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目的调查联合接种疫苗后病例死亡原因。方法依托中国免疫规划信息管理系统中疑似预防接种异常反应管理平台,对一起联合接种疫苗后疑似异常反应死亡病例进行调查。结果结合相关资料、资质调查和尸解结果,儿童的死亡原因为疫苗接种后过敏性休克死亡,属预防接种异常反应但其本身所患小脑弥漫型星型胶质细胞瘤对其死亡起一定的促进作用,由何疫苗所致过敏反应无法鉴别。结论应加强接种前后告知,加强医务人员对预防接种后过敏性休克的培训,建议一类疫苗和二类疫苗分开接种,避免补偿纠纷的出现。
Objective To investigate the causes of death after combined vaccination. Methods Based on the suspected vaccination anomaly management platform in China’s immunization program information management system, a case of suspected abnormal reaction deaths after combined vaccination was investigated. Results Combined with relevant information, qualification investigation and autopsy results, the cause of death of children was anaphylactic shock after vaccination, which was caused by the abnormal response of vaccination but the cerebellar diffuse astrocytoma itself Promote the role of the vaccine caused by allergic reactions can not be identified. Conclusion Before and after inoculation should be strengthened to inform the medical staff to strengthen the training of vaccination after anaphylactic shock. It is suggested that vaccines of one type and two types of vaccines should be separately vaccinated to avoid the emergence of compensation disputes.