新疆沙湾县三例鼠疫的临床报告

Three Cases of Plague in Shawan County: A Clinical Report

1988年8月4日于新疆沙湾县天山山地后山N43°35′、E85°10′,海拔2770米处发现一名急死病人。死者马曼,男,26岁,哈族,牧民。经流行病学追溯调查,死者系因剥旱獭皮感染鼠疫而死亡。并经细菌学检验证实。尸检时未发现有皮下淋巴结肿,为败血症继发肺鼠疫而死。患者马曼,死后第3天,即8月7日有2名续发患者,这两名患者均为马曼患病期间的密切接触者,经临床和细菌学检验确诊为原发性肺鼠疫。由于早期发现和及时治疗,后2名患者均痊愈。

A case of sudden death occourred in a mountainous area in the Tianshan Mountains (43? 35' N, 85? 10' E, 2770m above sea level) in August 4, 1988, the dead was a 26-year male herdsman of Kazak nationality. Epidemio logic and bacteriological studies indicated that the man died of plague by skinning a marmota. No subcutaneous lymphadencctasis was found, suggesting that the man was suffering from septemia seconded by pneumonic plague. Another man and a pupil who had close contact with the dead were also infected with plague 3 days later. Thanks to the early diagnosis and intensive treatment, the latter 2 patients were recovered.