CAJ | 학술논문

目的：：了解某市动物伤人及暴露者后处置的情况,为制定狂犬病的防治措施提供科学依据。方法：对某中心预防接种门诊2009年6月~2012年6月3年间就诊登记的狂犬病暴露者个案资料进行统计分析。结果：3年间登记的7884例暴露者中,男性多于女性；高危年龄段为10~35岁,以学生、工人多见；高发月份为6~9月；伤后就诊24h居多,4h或48h就诊者较少；暴露程度以Ⅲ级为主；绝大多数犬被致伤；伤及部位以下肢最多；暴露伤口以单处、下肢为主；暴露后伤口未经处理或处理不当者达1/3；单独全程免疫而接种狂犬病人免疫球蛋白极少。结论：加强狂犬病防治知识的普及宣教,提高狂犬病暴露者伤口规范处置及尽早接种疫苗的意识,强化医务人员的专业培训。
목적：：료해모시동물상인급폭로자후처치적정황,위제정광견병적방치조시제공과학의거。방법：대모중심예방접충문진2009년6월~2012년6월3년간취진등기적광견병폭로자개안자료진행통계분석。결과：3년간등기적7884례폭로자중,남성다우녀성；고위년령단위10~35세,이학생、공인다견；고발월빈위6~9월；상후취진24h거다,4h혹48h취진자교소；폭로정도이Ⅲ급위주；절대다수견피치상；상급부위이하지최다；폭로상구이단처、하지위주；폭로후상구미경처리혹처리불당자체1/3；단독전정면역이접충광견병인면역구단백겁소。결론：가강광견병방치지식적보급선교,제고광견병폭로자상구규범처치급진조접충역묘적의식,강화의무인원적전업배훈。
Objective:To learn the animal attack and post treatment for the exposed in our city and pro-vide a scientific base for the construction of prevention measures against rabies.Methods:Make a statistical a-nalysis on the individual cases of the exposed registered in vaccination clinic in our centre during the period from June 2009 to March 2012.Results:Amoung all the 7884 cases registered during the three year,the num-ber of male was greater than female,thoses who were at the age of 10~35 were in high risk,and most of them were found to be student or worker.And the high incidence month were during the 4 month from June to September.Most of them visit whin in 24-hour,few of them visit within 4h or 48h.And the exposure de-gree III took the priority ,most of the exposed were attacked by dog,and the main attacked sites were lower extremities.The wood were mainly found to be in single site and in lower extremities;the number of the ex-posed who were not be treated or were not properly treated was up to one third.Conclusion:It is necessary to strengthen the popularization and the education of prevention knowledge about rabies and the awareness to standardize the treatment of rabies wood and vaccination and to strengthen professional training of medical staff.