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目的对青海省囊谦县2004年9-10月一起人间肺鼠疫疫情的调查。方法用流行病学调查、临床检查、细菌学和血清学检查及尸体解剖等方法进行分析和诊断。结果发病14例,死亡6例;首发病例为原发性败血型鼠疫继发肺鼠疫;其他为原发性肺鼠疫继发败血型鼠疫4例,原发性肺鼠疫9例。鼠疫疫区经常规处理,疫情被完全控制。结论狗叼食旱獭将染疫蚤带入帐房内叮咬人而传染鼠疫;其余病例经相互接触、空气飞沫或空气尘埃传播;该地区应加强鼠情监测,灭獭灭蚤,防止疫情再次发生。
Objective To investigate the epidemic situation of human pulmonary plague in Sep. - Oct., 2004 in Baoqian County, Qinghai Province. Methods Epidemiological survey, clinical examination, bacteriological and serological tests and autopsy methods for analysis and diagnosis. The results of onset in 14 cases, 6 cases of death; the first case of primary sepsis plague secondary pneumonic plague; other primary pneumonic plague secondary septic plague in 4 cases, 9 cases of primary pulmonary plague. Plague epidemic area routine treatment, the outbreak was completely controlled. Conclusions Dogs hold the birds in their dingy to infect their houses and infect the plague. The rest of the cases are exposed to air droplets or airborne dust. In this area, rodent monitoring and extermination of fleas should be strengthened to prevent the epidemic from happening again occur.