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秋季節必須要警惕霍亂

2022-02-22 閱讀:10

    夏秋季來到,各種腸道傳染病接踵而至,其中霍亂是最為嚴重的腸道傳染病之一,它發病急,傳播快,在我國《傳染病防治法》中列為甲類,霍亂在我國主要發生在夏秋季節,高峰期在7-8月間?;魜y多表現為腹瀉,重者可劇烈瀉吐、脫水、肌肉痙攣、周圍循環衰竭,不及時救治會導致死亡,因此,應該對霍亂引起高度重視。

    霍亂是由霍亂弧菌引起的,從感染到患病一般1-3日,短者3-6小時,長者可達7日,典型病人多為突然發病,以劇烈腹瀉開始,然后嘔吐,多無腹痛,每日大便數次、十數次或更多,少數重型病人糞便從肛門直流而出,無法計數。大便性狀初為稀便,后為水樣便,以黃水樣或清水樣多見,少數為米泔樣或洗肉水樣。由于嚴重瀉吐,病人煩躁不安,口渴、眼窩深陷、聲音嘶啞,腹下陷呈舟狀,皮膚皺縮、濕冷且彈性消失,指紋皺癟、酷似“洗衣工”手,病人由于循環衰竭可出現極度無力,神志不清,血壓下降,脈搏細弱,可因休克死亡,由于嚴重吐瀉也可引起小腿肚和腹部肌肉痙攣,霍亂的病死率過去為20-30%,近年控制在1-2%,但老年、孕婦或有并發癥患者預后較差,病死率為3-6%,對于霍亂的治療主要是補液療法(補充丟失的液體)和抗菌治療(常用藥物有強力霉素,復方磺胺甲基異惡唑,吡哌酸、氟派酸等),如果有中毒性休克等并發癥,積極治療并發癥。

    對于霍亂的預防主要做到以下幾點:

    1.發現病人及早隔離治療。病人和帶菌者是霍亂的傳染源,病人在發病期間絕大多數均大量排菌,時間一般為5天,亦有長達2周者,尤其是中、重型病人,排菌量較大,每毫升糞便含107---109個弧菌,污染面廣泛,霍亂病人急性期唾液內也存在弧菌,如果曾與霍亂病人密切接觸,應及時到醫院就診。 

    2.注意衛生 霍亂的傳播途徑為糞-口途徑,可通過水、食物、日常生活接觸和蒼蠅等不同途徑進行傳播或蔓延,其中水的作用最為突出,應加強對飲水的消毒,絕對不要喝生水,注意飲食衛生,蔬菜水果洗干凈,飯前便后洗手,通過各種方法殺蛆滅蠅等。

    3. 霍亂菌苗預防接種。

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