12例犬咬伤后发生狂犬病的原因分析

Analysis on the reasons of 12 rabies cases bitted by dogs

目的探讨"健康"带毒犬咬伤人后发生狂犬病的原因。方法用描述性流行病学方法对发生狂犬病的病例进行调查和分析。结果 3例未全程注射狂犬疫苗的患者于被咬伤后40～82d死亡;2例患者注射狂犬疫苗的时间太迟,于被咬伤后的33～55d死亡;余7例未注射狂犬疫苗或注射了狂犬疫苗但又未注射被动免疫制剂,均于被咬伤后的17～67d后全部死亡。结论联合运用被动免疫制剂、及时处置伤口、注射狂犬疫苗对预防狂犬病的发生非常关键。

Objective To study the reasons of people bitted by suspected mad animals.Method Investigated and analyzed the rabies cases by epidemiological methods.Results 3 patients wounded by dog without injected whole vaccine,and died at 40~82 days after biting.2 patients who injected rabies vaccine late,died at 33~55 days after being bitten.The other 7 patients who did not inject rabies vaccine,or injected rabies vaccine but did not inject passive immune agents,all died at 17~67 days after being bitten.Conclusions Conjunctive use passive immune agents,disposal wound timely,injection rabies vaccine were critical to prevent rabies.