山东省15岁以下儿童注射麻痹病例的调查分析

INVESTIGATION ON INJECTION PALSY CASES UNDER15 YEARS OLD CHILDREN IN SHANDONG PROVINCE

１９９２～１９９４年山东省通过急性弛缓性麻痹（ＡＦＰ）病例监测系统共报告２８例注射麻痹，估计１５岁以下儿童年发生率为０．０５／１０万～０．０６／１０万。注射麻痹的发生原因，多为患儿发热接受药物臀部肌肉注射而操作不当，钉头误伤坐骨神经。在农村卫生室注射引起者占８５．８％。由于注射麻痹临床表现属典型的ＡＦＰ，在发病初期临床上难以与脊髓灰质炎（脊灰）鉴别，故从消灭脊灰的角度出发，应将其作为疑似脊灰病例报告，并将其作为参考指标来评价ＡＦＰ病例监测系统的敏感性和临床诊断的水平。

8 injection palsy cases were reported in Shandong Provinee through AFP surveillanee systemin 1992-1994. The incitience under 15 years old children was 0.05/100,000-0.06/100,000.The reasonfor injection palsy was due to the unproper intramuscular injedion of drugs to fevered children andthe sdatic nerve was injured by the injection needle.Such cases accounted for 85.8% in the rural clinic.Since the clinical feature of injection palsy is typical with that of AFP and also it can hardly bedifferentiated clinically from poliomyetitis at the beginning of the disease,injection palsy should berepoted as suspected poliomyelitis,especially in consideration of polio eradication.Injection palsy case report may be taken as a reference index for evaluating the clinical diagnostic level and workingsensitivity of the AFP surveiliance system.