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目的了解脊髓灰质炎活疫苗相关麻痹型病例的发病特征。方法对1例相关麻痹型病例的临床和流行病学资料进行分析。结果病例首次服脊髓灰质炎减毒活疫苗21天后出现双下肢麻痹,病例患肛周脓肿,便标本分离出脊灰疫苗株病毒,麻痹60天后随访有残留麻痹。结论建议将肛周脓肿作为脊髓灰质炎减毒活疫苗接种的禁忌证。
Objective To understand the incidence of poliomyelitis-related paralysis cases. Methods The clinical and epidemiological data of one case of related paralysis were analyzed. Results The first case of poliomyelitis live attenuated vaccine after 21 days after the emergence of double lower limb paralysis, the patient suffering from perianal abscess, the specimen isolated polio vaccine strain virus paralysis after 60 days of follow-up residual paralysis. Conclusions Perianal abscess is recommended as a contraindication for live attenuated polio vaccination.