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44例急性弛缓性麻痹病例发病及预后观察

Observation on the Onset and Prognosis of 44 Acute Flaccid Paralysis Cases

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【作者】 张亚宋亚

【Author】 ZHANG Ya; SONG Ya;(Epidemic Prevention Station of Pizhou, Jiangsu, Pizhou, 221300, China.)

【机构】 江苏省邳州市卫生防疫站!邳州市221300

【摘要】 邳州市1993~1997年共报告急性弛缓性麻痹(AFP)病例44例,采集双份粪便标本的37例,占84.1%,未分离到脊髓灰质炎(脊灰)野病毒.麻痹以下肢多见,其中单下肢占40.9%.在麻痹程度上.轻度麻痹占45.4%,重度麻痹占54.6%,明显效脊灰为轻.麻痹60天后随访,有17例肌力未恢复,占总病例数的38.6%。现况调查结果显示,仍有9例肌力来恢复正常,占20.5%,其中GBS5例。本次调查发现,非脊灰AFP病例预后虽明显好于脊灰,但仍有一定比例的病例残留麻痹,值得引起关注.

【Abstract】 Pizhou had reported 44 acute flaccid paralysis (AFP) cases from 1993 to 1997 andcollected 2 stool specimens from 37 cases (84.1%). No wild type poliovirus were detected. Most ofthe paralytic AFP cases involved with lower limbs and chiefly attacked single lower limb (40.9%).The paralysis degree were Ⅲ and Ⅳ, lighter than poliomyetitis. Through the following-up afterparalysis for 60 days, there were 17 cases (38.6%) who didn’t recover their muscle strength. UP tonow, there were still 9 AFP cases (20.5%) whose muscle strength did not get recovery, of themincluding 5 Guillain-Barre Syndrom (GBS) cases. The prognosis of non- polio AFP cases was betterthan poliomyelitis, but there are still some cases having residual paralysis. It is necessary to pay attention to.

  • 【文献出处】 中国计划免疫 ,CHINESE JOURNAL OF VACCINES AND IMMUNIZATION , 编辑部邮箱 ,1999年04期
  • 【分类号】R512.4
  • 【被引频次】3
  • 【下载频次】19
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