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我院妇产科1988年8月19日收入一位产妇,婴儿出生后母乳喂养,生后24小时突发高热、惊厥、脓血便,疑诊急性菌痢,予隔离治疗,并做大便培养,同时追问母亲病史,知其入院前2天即开始腹泻,亦做大便培养。结果母、婴大便培养均为鼠伤寒沙门氏菌。在第一例发病后6至24小时内造成7名产妇、34名婴儿先后腹泻,形成流行,临床表现相同,粪便培养均阳性,立即关闭妇产科,检疫并作终未消毒。现将34名婴儿病例分析如下:
Obstetrics and Gynecology in our hospital August 19, 1988 income A maternal, breastfeeding baby after birth, sudden high fever 24 hours after birth, convulsions, pus and blood, suspected acute bacillary dysentery, to isolation treatment, and stool training, At the same time asked her mother’s medical history, known to start diarrhea 2 days before admission, but also do stool training. Results Both mother and infant stool cultures were Salmonella typhimurium. Within 6 to 24 hours after onset of the first case, seven mothers and 34 infants had diarrhea. They became epidemic and had the same clinical manifestations. All the stool cultures were positive. Obstetrics and gynecology were immediately closed and quarantined and finally disinfected. The 34 infant cases are now analyzed as follows: