SARS铁路交通检疫中“发热病人”研究

Study on Feverish Patients in Quarantine of Railway Traffic to SARS

目的 探索SARS铁路交通检疫中“发热病人”这一特殊群体的特征。方法 对检疫中发现的870例“发热病人”流行病学特征及与SARS进行关联情况分析。结果 870例“发热病人”时间分布：5月15日～6月15日出现高峰，最高一天达32例；空间分布：旅客列车占77．36％，列车车上检出率仅为73．70％，来源地中广东和湖南分别占58．74％、21．26％，居住地中湖南占45．86％；人群分布：20～29岁所占比例最高，为43．68％，男女性别比为2．97：1，职业以农民（含民工）最多，占59．43％。体温在38．4℃以下达60．12％，诊断为SARS病人（含疑似病人）的2例，与SARS有明显接触史为3例。结论 SARS铁路交通检疫中的“发热病人”有独特的流行病学特征，“发热”作为检疫唯一指征宜作修正。

Objective To explore the characteristic of feverish patients in the quarantine of railway traffic in SARS epidemics. Methods The epidemiological characteristics of feverish patients were studied in quarantine which was related to SARS epidemiology. Results There was time- distribution of the 870 feverish patients： most patients were founded from 15th May to 15th June, and highest incidence discovery day was 32 cases. The space distribution： there were 77.36% of patients from the custom trains, and the prevalence rate of patients on the train was only 73.70% ; and 58.74% of them were from Guangdong and 21.26 % from Hunan. There were 45.86 % residing in Hunan among them. Age distribution： the patients of 2029 agegroup accounted the majority, which was 43.68 %. The male and female ratio was 2.97：1. The peasants （laborer workers on public project） were most in occupation, accounted for 59.43 %. The patients temperature under the 38.4 IF was 60.12%. Two patients were diagnosed to be SARS and three contacted with SARS. Conclusion The feverish patients in the quarantine of railway traffic in SARS outbreak had unique epidemiologic features, it should be amended that a fever is the only symptom of the quarantine to SARS.