摘要
破伤风分为新生儿破伤风和非新生儿破伤风。我国已于2012年消除了新生儿破伤风,但非新生儿破伤风仍是一个严重的公共卫生问题。非新生儿破伤风重症患者在无医疗干预的情况下,病死率接近100%,即使经过积极的综合治疗,全球范围病死率仍为30%~50%,是一种极为严重的潜在致命性疾病。为规范我国非新生儿破伤风诊疗行为,提高医疗质量,保障医疗安全,特制定本规范。本规范包括了非新生儿破伤风的病原学、流行病学、发病机制、临床表现及实验室检查、诊断、鉴别诊断、分级、治疗等方面内容。
Tetanus consists of neonatal tetanus and non-neonatal tetanus.Non-neonatal tetanus remains a serious public health problem,although neonatal tetanus has been eliminated in China since 2012.Non-neonatal tetanus is a potential fatal disease.In the absence of medical intervention,the mortality rate of severe cases is almost 100%.Even with vigorous treatment,the mortality rate is still 30%-50%globally.These specifications aim to regulate non-neonatal tetanus diagnosis and treatment in China,in order to improve medical quality and safety.These specifications introduce the etiology,epidemiology,pathogenesis,clinical manifestations and laboratory tests,diagnosis,differential diagnosis,grading and treatment of non-neonatal tetanus.
作者
王传林
刘斯
陈庆军
邵祝军
吴纪峰
范昭
王培戈
朱政纲
兰频
李建国
郑以山
何武兵
徐哲
唐卫东
逄金满
班志红
杨树青
丁文涛
郑希福
张齐龙
Wang Chuanlin;Liu Si;Chen Qingjun;Shao Zhujun;Wu Jifeng;Fan Zhao;Wang Peige;Zhu Zhenggang;Lan Pin;Li Jianguo;Zheng Yishan;He Wubing;Xu Zhe;Tang Weidong;Pang Jinman;Ban Zhihong;Yang Shuqing;Ding Wentao;Zheng Xifu;Zhang Qilong(Emergency Department/Trauma Center,Peking University People’s Hospital,Beijing 100044,China;Emergency Department,First Hospital of Peking University,Beijing 100034,China;Emergency Department,Beijing Hepingli Hospital,Beijing 100013,China;National Institute for Communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Surgical Department,Shijiazhuang Fifth Hospital,Shijiazhuang 050021,China;Emergency Department,Peking University Shenzhen Hospital,Shenzhen 518036,China;Emergency Department,The Affiliate Hospital of Qingdao University,Qingdao 266003,China;Rabies Clinic,Wuhan Center for Disease Control and Prevention,Wuhan 430015,China;Department of Emergency,Lishui Hospital,Zhejiang University School of Medicine,Lishui 323000,China;Emergency Department,Hebei General Hospital,Shijiazhuang 050051,China;Department of Critical Care Medicine,The Second Hospital of Nanjing,Nanjing 210003,China;Provincial Clinical Medical College,Fujian Medical University,Fuzhou 350001,China;Centre of Infectious Diseases,The Fifth Medical Centre,PLA General Hospital,Beijing 100039,China;Suzhou Road Hospital,Xinjiang Autonomous Region People’s Hospital,Department of Orthopedics,Urumqi 830000,China;Thyroid and Breast Surgery,the Third Hospital of Jinan,Jinan 250132,China;Emergency Department,Guangxi International Zhuang Medicine Hospital,Nanning 530200,China;Emergency Department,Chongqing Emergency Medical Center/Central Hospital of Chongqing University,Chongqing 400014,China;Department of General Surgery,Tianjin First Central Hospital,Tianjin 300192,China;Department of Orthopedic Surgery,First Affiliated Hospital,Dalian Medical University,Dalian 116011,China;Department of Emergency and Critical Care Medicine,the Jiangxi Chest Hospital,Nanchang 330006,China)
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2020年第2期162-166,共5页
Chinese Journal of Epidemiology
关键词
破伤风
规范
非新生儿
诊断
治疗
Tetanus
Specifications
Non-neonatal
Diagnosis
Treatment
