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近10年来,东营市郊发生了较大规模的阿米巴肝脓肿流行。1981年4月至1991年11月总发病率为0.10%(460/438 968),以辛庄、东武、陈庄、盐坨4个村的发病率最高,分别为4.21%(73/1 732),3.78%(34/900)、2.71%(76/2 800)、3.14%(69/2 200)。为查明原因,我们于1991年8~11月对发病较高的上述4个村庄进行了调查,并对住院治疗的病案进行了分析。一、方法和内容用随机抽样的方法抽取4个发病率较高村患此病的家庭成员,组织专业人员收集新鲜粪便,碘液染色涂片法查阿米巴包囊,对两年内发病的病人采血,用ELISA法查阿米巴抗体。并对1981年4月~1991年11月在市中心医院、胜利油田胜利医院住院治疗的181例病人的病案进行了分析。
In the past 10 years, a large-scale epidemic of amebic liver abscess occurred in the suburbs of Dongying. The overall incidence rate was 0.10% (460/438 968) between April 1981 and November 1991, with the highest incidence rates in Xinzhuang, Tobu, Chenzhuang and Yantuo of 4.21% (73/1 732), 3.78% (34/900), 2.71% (76/2 800), 3.14% (69/2 200). In order to find out the reasons, we conducted a survey on the above four villages with higher incidence from August to November 1991, and analyzed the medical records of inpatient treatment. Method and content Four randomly selected samples were collected from four family members with higher incidence of the disease in the village. Tissue professionals collected fresh faeces and amiodarone smear smear method of enamel amylase. The patients with the disease within two years Blood was collected and the amoebic antibodies were detected by ELISA. And from 1981 April to 1991 November in downtown hospitals, Shengli Oilfield Shengli Hospital, hospitalized 181 cases of patients were analyzed.