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目的分析2010年厦门市手足口病重症和死亡病例(重型病例)地区差异原因。方法对36例手足口病重型病例进行流行病学调查,并收集同期厦门市各医疗机构报告的2 396例手足口病病例资料,进行对比分析,探讨影响本市手足口病重型病例地区差异原因。结果重型病例的“发病―诊断”间隔天数长于普通病例;重型病例较多的地区,患者初诊多为市级以下的医疗机构。结论影响厦门市手足口病重型病例地区差异的原因,值得引起注意和深入研究。
Objective To analyze the regional differences of HFMD and death cases (heavy cases) in Xiamen in 2010. Methods Thirty-six cases of HFMD were investigated by epidemiology, and 2 396 cases of hand-foot-mouth disease reported by medical institutions in Xiamen during the same period were collected for comparative analysis to explore the reasons for the regional differences in HFMD cases in this city . Results In severe cases, the interval between “incidence-diagnosis” was longer than that in normal cases; in the areas with more severe cases, the newly diagnosed patients were mostly medical institutions below municipal level. Conclusion The reason of regional differences in HFMD cases in Xiamen City deserves our attention and in-depth study.