1例疑似鼠疫病例的排除及治疗护理的探讨

doi:10.11853/j.issn.1003.8280.2018.05.029

中国媒介生物学及控制杂志 ›› 2018, Vol. 29 ›› Issue (5): 527-529.DOI: 10.11853/j.issn.1003.8280.2018.05.029

1例疑似鼠疫病例的排除及治疗护理的探讨

张继超¹, 史献明², 李媛媛¹, 闫东², 杜国义²

1 河北北方学院附属第一医院, 河北张家口 075000;
2 河北省鼠疫防治所, 河北张家口 075000

收稿日期:2018-05-23 出版日期:2018-10-20 发布日期:2018-10-20
通讯作者: 杜国义,Email:530258017@qq.com
作者简介:张继超,男,护师,从事护理工作,Email:dgyhbs@163.com
基金资助:
河北省2017年度医学科学研究重点课题计划（20170467）；国家重点研发计划重点专项（2016YFC1201304）

Rule out and treatment of one suspicious plague case

ZHANG Ji-chao¹, SHI Xian-ming², LI Yuan-yuan¹, YAN Dong², DU Guo-yi²

1 First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, Hebei Province, China;
2 Anti-plague Institute of Hebei Province

Received:2018-05-23 Online:2018-10-20 Published:2018-10-20
Supported by:
Supported by the Key Medical Projects of Hebei Province in 2017 (No. 20170467) and National Major Research and Development Plan (No. 2016YFC1201304)

摘要/Abstract

摘要： 目的探讨疑似鼠疫病例排除过程中的护理及治疗经验。方法 2016年7月，取河北省邢台县人民医院报告的1例疑似鼠疫病例的血液样本、咽分泌物及痰液，做鼠疫“三步检验”；分离血清进行鼠疫IHA，对病例采取特殊护理、治疗等措施。结果患者血液样本镜检为阳性，但是血液样本的镜检、培养、ELISA、PCR、鼠疫噬菌体试验均为阴性；痰液、咽分泌物镜检、培养、ELISA、PCR、鼠疫噬菌体试验也均为阴性；血清的反向间接血凝试验、间接血凝试验和胶体金免疫层析试验全部为阴性。结论排除了鼠疫病例，并在其排除过程中，采取人文关怀、心理疏导等护理措施，取得良好效果。

关键词: 疑似鼠疫病例, 治疗, 护理

Abstract: Objective To investigate the rule out process and nursing experience in a patient with suspected plague. Methods In July 2016, blood samples, pharynx secretion and sputum samples of suspected plague patients from the People's Hospital of Xingtai county were taken and the "three step test" of plague was conducted. The isolated serum was used in the indirect hemagglutination test of plague. Special nursing and treatment measures were taken to the patients. Results The blood samples were positive by microscopic examination. The laboratory examination, culture, ELISA, PCR and plague bacteriophage test of blood, pharynx secretion and sputum were all negative. The serum RIHA test, IHA experiment and colloidal gold immunochromatography test were all negative. Conclusion The plague cases were ruled out. The nursing measures such as humanistic care and psychological counseling were applied in the ruling out process of plague cases. Good results were achieved.

Key words: Suspected plague patients, Treatment, Nursing

中图分类号:

R516.8

张继超, 史献明, 李媛媛, 闫东, 杜国义. 1例疑似鼠疫病例的排除及治疗护理的探讨[J]. 中国媒介生物学及控制杂志, 2018, 29(5): 527-529.

ZHANG Ji-chao, SHI Xian-ming, LI Yuan-yuan, YAN Dong, DU Guo-yi. Rule out and treatment of one suspicious plague case[J]. Chines Journal of Vector Biology and Control, 2018, 29(5): 527-529.

[1]	邓乐, 温志立, 李林涛, 钟恢海. 江西省布鲁氏菌病病例临床特征及治疗分析[J]. 中国媒介生物学及控制杂志, 2017, 28(5): 516-516.
[2]	赵玉强，王海防. 人体皮肤蠕形螨感染的诊断与治疗[J]. 中国媒介生物学及控制杂志, 2010, 21(5): 518-519.
[3]	陈建1;耿震2;侯学霞2;万康林2. 莱姆病关节炎的循证治疗[J]. 中国媒介生物学及控制杂志, 2006, 17(2): 122-124.

1例疑似鼠疫病例的排除及治疗护理的探讨

Rule out and treatment of one suspicious plague case

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 3

编辑推荐

Metrics

本文评价