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

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