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目的对兴海县子科滩镇2009年7月30-8月8日一起人间肺鼠疫疫情进行调查与处置。方法用流行病学调查、临床检查、细菌学和血清学检验及尸体解剖等方法进行诊断、分析。结果发病12例,死亡3例;首发病例为原发性肺鼠疫于2009年7月26日在送往就治医院途中死亡;11例亲属为密切接触后经空气传播致原发型肺鼠疫,其中2例在治疗过程中因多器官功能衰竭而死亡。结论首发病例为接触感染鼠疫死亡的牧犬后而传染鼠疫;其余病例(亲属)接触病人(首例死亡病人)后经空气飞沫或空气尘埃传播。经采取紧急措施处理,加强动物间鼠疫疫情监测,灭獭灭蚤,疫情被迅速控制。
Objective To investigate and treat the human pneumonic plague epidemic in Zi Ke Tan Beach, Xinghai County from July 30 to August 8, 2009. Methods The epidemiological survey, clinical examination, bacteriological and serological tests and autopsy methods for diagnosis and analysis. Results The incidence of 12 cases, 3 cases of death; the first case of primary pneumonic plague on July 26, 2009 in the hospital sent to the death on the way; 11 cases of close contact with relatives by airborne primary pneumonic plague, Two of them died of multiple organ failure during the course of treatment. Conclusions The first case was plague of plague after contact with herdsman who died of plague. The remaining cases (relatives) contacted the patient (the first case of death) and were then spread by air droplets or airborne dust. After taking urgent measures to deal with and strengthen the plague epidemic between animals monitoring, eliminate otter fleas, the epidemic was quickly controlled.