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目的 针对由黄疸出血群和犬群引起的肺出血型钩体病在我省的北移现象进行调查分析。方法 通过现场流行病学、血清学和病原学方法进行调查分析。结果 肺出血型钩体病主要发生在我省Ⅲ型地区的皖南 ,而 80年代以来 ,原本在Ⅲ型地区流行的主要流行菌群—黄疸出血群 ,开始在Ⅰ型地区和Ⅱ型地区出现 ,并于 90年代后造成局部地区肺出血型钩体病的爆发流行 ,病死率高。结论 肺出血型钩体病在我省出现了北移现象 ,江淮之间及沿淮流域发生了钩体菌群更迭
Objective To investigate and analyze the phenomenon of pulmonary haemorrhagic leptospirosis caused by jaundice hemorrhage and canine in our province. Methods The epidemiological, serological and etiological methods were used to investigate and analyze. Results Pulmonary haemorrhagic leptospirosis occurred mainly in Wannan, a province of type Ⅲ in our province. Since the 1980s, the predominant epidemic flora of jaundice in the type Ⅲ area began to appear in type Ⅰ and type Ⅱ areas. In the 1990s, the outbreak of pulmonary hemorrhagic leptospirosis was endemic in some areas with a high case fatality rate. Conclusions Pulmonary haemorrhagic leptospirosis appeared northward migration in our province, with the change of hook body flora between Jianghuai basin and along the Huaihe River basin