【摘要】 目的了解吴川市Z村被红火蚁咬伤病例的患病率、三间分布、临床表现及其治疗情况,为预防控制提供科学依据。方法用一览表问卷普查Z村村民被咬伤的流行病学特征、临床表现和治疗情况。结果全村69户都有人被叮咬过,累计患病率93.8%(289/308),1999年发现疑似红火蚁伤人,2002~2004年病例逐年增加;无性别、年龄差异;在农田务农被叮咬者占78.5%;临床表现以轻微的痒痛(100%)、红润(99.2%)、水(脓)疱(98.8%)、丘疹(59.0%)为多见,少见全身过敏(0.8%)和休克(0.8%)等严重症状,咬伤部位以四肢(81.7%)为主,85.3%病例自己用药,使用消炎、抗过敏药治疗效果好,无死亡病例。结论村民普遍被叮咬,临床表现以局部表现为主,预后良好。更多还原

【Abstract】 Objective To study the morbidity rate,epidemical distribution,clinical symptoms and treatment of the cases bitten by red imported fire ants(RIFA),and to provide the scientific evidence for disease control and prevention.Methods(All the) peasant bitten by RIFA in Z village were screened and investigated to collect their epidemiological characters,clinical symptoms and treatments.Results Each family in the village had one or more members bitten by RIFA.The accumulative morbidity rate was(93.8%)((289/)308).The first suspect case bitten by RIFA occurred in 1999,and cases had been increasing year by year since then.Among the persons who were bitten by RIFA,there was no significant difference between male and female and among the persons from different ages.(78.5%) peasants were bitten in the field while cultivating,in which(81.7%) were bitten on four limbs.The clinic symptoms were mainly including itch-pain(100%),ruddy((99.2%)),blain((98.8%)),pimple((59.0%)),and severe symptoms such as systemic hypersusceptibility((0.8%)) and shock((0.8%)) rarely occurred.(85.3%) patients treated themselves,and no one died of the bite of RIFA.Anti-inflammation and anti-hypersusceptibility drugs had a good effectiveness.Conclusion Peasants are bitten by RIFA quite widely,but the clinic symptoms are mainly represented in localized part and patients have good prognoses.更多还原