郯城县1989年7～10月脊髓灰质炎发生局部暴发,共发病 57例,发病率为6.94/10万,死亡11例,病死率19.30％。经病原学和血清学证实是由Ⅰ型脊髓灰质炎病毒引起。患儿最小57天,最大4岁,3岁以内占96.49％。多在热退后3～4天内出现肢体弛缓性瘫痪,少数伴腹肌麻痹。57例患儿中有30例未服脊髓灰质炎疫苗;25例未全程服苗。文中对防止流行的措施进行了讨论。 Occurrence of poliomyelitis in Tancheng County from July to October 1989 occurred in 57 cases, with a total incidence of 6.94 / 100 000, 11 deaths and a case fatality rate of 19.30%. Etiologic and serological evidence of type I poliovirus infection. Children with a minimum of 57 days, up to 4 years old, accounting for 96.49% within 3 years of age. More hot back 3 to 4 days after the flaccid limb paralysis, a few with abdominal paralysis. Out of 57 children, 30 did not receive the poliomyelitis vaccine; 25 did not take the whole dose of vaccine. The article discussed the measures to prevent epidemics.