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猫咬伤致狂犬病本地区尚未见报道。1995年在我镇发生被猫咬(抓)伤而患狂犬病致死亡1例,现报告如下。1 病例摘要 患者,王某,女,36岁,农民,住本镇,于1995年8月9日在邻村田间劳动时,逮住一只小猫,第2天上午喂养中被其咬伤左手无名指并抓伤手背,在村卫生室涂磺胺结晶后包扎,口服消炎药复方新诺明,未 注射狂犬疫苗及破伤风抗毒素,数日后伤口痊愈。8月26日患者自觉全身不适,疲乏无力,发烧,伤处麻木,疑是感冒,口服退烧药和感冒冲剂。继而出现烦躁不安、怕风、恐水、大汗、吞咽困难、阵发性抽搐等症状,于8月28日急诊入院确诊为狂犬病。8月29日8时抢救无效死亡,病程4天。2 讨论 患者平常健康,既往无犬、猫咬伤史,本次发病被猫抓咬伤,伤口虽然表浅,但有明显渗出血,同时未注射狂犬疫苗,致使咬伤后第16天发病。 在狂犬病中,犬咬伤占90％以上,本例被猫咬伤后所致狂犬病死亡,临床罕见。目前城乡居民以犬、猫为宠物饲养已成时尚,与人的接触更为密切,因而病猫的危害也不能忽视。故对饲养的家猫要进行兽用狂大病疫苗的预防注射。如人被猫致伤应与犬咬伤同样对待,彻底清创、抗感染、及时给予全程注射狂犬病疫苗。
Cat rabies rabies caused by the region has not been reported. One case of rabies-induced death from cat bites (scratches) in my town in 1995 was reported as follows. Patient, Wang, female, 36 years old, farmer, living in the town, caught a kitten while working in a village farm on August 9, 1995 and was bitten by feeding on the morning of the second day Left hand ring finger and scratched the back of the hand, in the village clinics Tu Sulfonamide crystal after dressing, oral anti-inflammatory drugs cotrimoxazole, not rabies vaccine and tetanus antitoxin injection, a few days after the wound recovered. August 26 patients consciously unwell, fatigue, fever, numbness, suspected cold, oral antipyretics and cold granules. Followed by irritability, fear of the wind, fear of water, sweating, swallowing difficulties, paroxysmal convulsions and other symptoms, admitted to the hospital on August 28 emergency diagnosis of rabies. 8 o’clock on the 29 August died of invalid rescue, duration 4 days. 2 Discussion Patients are generally healthy, no dogs, history of cat bites, the incidence of cat scratching the wound, although the superficial wound, but there was a significant bleeding, while rabies vaccine was not injected, causing the bite after 16 days of onset . In rabies, dog bites accounted for more than 90%, in this case rabies death caused by cat bites, clinical rare. At present, urban and rural residents with dogs and cats as pets have become fashionable, and people’s exposure is more closely, so the harm of sick cats can not be ignored. Therefore, domestic animal cats should be vaccinated against wild cats. Such as cat injuries caused by cats should be treated the same with dog bites, thorough debridement, anti-infection, timely injection of rabies vaccine throughout the injection.