Objective To analyze epidemiological characteristics of influenza A(H1NI) cases confirmed in Sichuan.Analysis of influenza H1N1 in Sichuan epidemiological features of influenza,and provide reference for future controlling epidemic of new and outbreak infectious diseases.Methods Retrospective analysis of hospital admitted 271 cases in 2009 Influenza A(H1N1) influenza cases the source,age and time distribution.Results 1) There were 271 Influenza A(H1N1) cases.The proportion of male ∶ female was 1.09 ∶ 1.Patients condition was more and more serious with the age increasing and the duration extending.2) Mild cases had no basal disease,while severe and critical patients had one or more basal disease,especially critical patients had multiple and heavy severe basal disease.3) Most of the patients aged 10 to 30 years(211 cases,77.87%).There was no younger than 2 and older than 65 years old in mild and severe patients.2 cases of critical patients was older than 65 years old.4) In early period of infectious diseases epidemic(May to September) patients condition were mild.In later period of infectious diseases epidemic(post September) severe or critical patients appeared compared with local outbreaks.5) In early period of infectious diseases epidemic all of cases were input(52 cases,19.19%),in later period of infectious diseases epidemic majority cases were local outbreaks.Conclusions In early period of epidemic of new and outbreak infectious diseases cases is input,mild,while in later period of infectious diseases epidemic majority cases were local outbreaks,severe or critical patients appeared compared with local epidemic outbreaks.Age and basal disease were important factors for patients condition.

目的总结患儿手足口病的护理要点。方法 2010年1月～2010年6月对收治387例手足口病患儿的护理资料进行回顾性分析,针对患儿特点及疾病的传染性,除及时采取消毒隔离外,重点对其皮肤、口腔、发热、心理、进行特别护理。结果经精心治疗与护理,385例患儿的病情得到有效控制并治愈出院。结论积极有效的护理措施是患儿手足口病得以控制和治愈的重要因素。

2009年3月始发于墨西哥的甲型H1N1流感,截止2010年1月10日,全球已有超过208个国家和地区报道实验室确诊病例,其中至少死亡13 554例[1];我国截至2009年12月31日31个省份累计报告甲型H1N1流感确诊病例120 498例,死亡648例[2]作为一个新发传染疾病,甲型H1N1流感危重症的发病特点和治疗方法尚在探索之中.

2009年3～8月,我院成功救治甲型H1N1流感确诊病例70例,医学观察病例350例,医疗废物管理井然有序.现将具体做法报告如下.

Objective To seek efficient,practical washing-hand detergents for the medical staff.Methods 144 medical persons working in different environments,including Ⅱ,Ⅲ and Ⅳ,and coming from 13 clinic departments of Chengdu infectious diseases hospital were randomly divided into 3 groups.i.e.soap group(48 persons),safeguard anti-bacterial soap group(49 persons) andJifro disinfection gel group(47 persons).And bacterial clearance rate for washing-hands detergents were analyzed.Results The results of three different treatments showed that in Ⅱ,Ⅲ,and Ⅳ different environments the average bacterial clearance rates were respectively 67.18%,90.33% and 89.57%.Conclusion The hand hygiene cleanness effects on safeguard anti-bacterial soap and Jifro disinfection gel are better than the soap for the medical staffs working in three different conditions.

目的探讨治疗猪链球菌脑膜炎有效抗菌药物及合理治疗方法的选择。方法收集21例患者流行病学、临床表现、细菌培养、毒力基因鉴定结果及药敏试验,抗菌药物疗效观察等资料进行分析。结果①从5例患者的脑脊液中培养出细菌经鉴定均含猪链球菌2型的毒力基因:猪链球菌2型溶菌酶释放相关蛋白基因,溶血素基因、荚膜多糖基因;②培养阳性的标本均来自于未接受抗菌药物治疗的患者;③药敏结果显示猪链球菌2型对大多数抗菌药物敏感,但对四环素,链霉素耐药;④21例患者均接受头孢曲松、青霉素联合治疗,全部治愈出院,平均治疗时间为17d。结论①此次脑膜炎疫情的病原体是猪链球菌2型;②病原体对大多数抗菌药物敏感,但已有耐药现象;③青霉素和头孢菌素可作为首选抗菌药物;④采用头孢菌素和青霉素联合方案疗效显著,无复发患者;⑤抗菌药物早期应用可以控制疫情的蔓延。

Objective To investigate clinical characteristics of 32 patients infected with Streptococcus suis type 2 in Chengdu local area.Methods All data concerning epidemiology,clinical behavior were collected.The bacteria culture,toxicity gene in the 32 patients were analyzed.Results S.suis type 2 toxicity gene was found in all the cultured bacteria separated from the blood and /or CSF of 6 patients.All patients had history of directly contact with ill and/or dead pig by chances such as slaughtering and/or prccessing pigs.Twenty-five patients(78.12%)had visible skin wounds.Most of the patients could clinically classified as meningitis type patients(65.6%,n=21);the rest are normal type(12.5%,n=4);the multiple type(15.6%,n=5);shock type(6.2%,n=2).Normal type and meningitis type patients had good prognosis.While multiple type patients have bad prognosis.Overall mortality rate was 6.25%.Conclusion Patients were infected with S.suis type 2 by directly contacting with ill and/or dead pigs.No secondary patients were found.Penicillin and cephalosporins can be considered preferred theraputic medication.

近年来人工肝支持系统(artificial liver support system,ALSS)研究应用于临床较为广泛,治疗效果显著.系统、规范的护理能有效地防止并发症,提高了重病肝炎的治愈率.现将58例重型肝炎,人工肝治疗取得较满意疗效的护理体会总结如下.