首页|2019-2023年北京及周边地区蜱虫咬伤的流行病学分析

2019-2023年北京及周边地区蜱虫咬伤的流行病学分析

扫码查看
目的:回顾5年来北京及周边地区蜱虫咬伤的流行病学特征,为蜱虫咬伤的院内规范化诊治提供依据.方法:对解放军总医院第四医学中心急诊科2019年1月1日-2023年12月31日接诊及收治的蜱虫咬伤患者的流行病学特征进行描述性分析.结果:5年共接诊260 602例,收治蜱虫咬伤患者493例,其中收住院210例.其中仅出现局部症状患者362例,占73.4%(362/493);发热31例,占6.3%(31/493).患者地区分布以顺义、平谷、门头沟区为主,门头沟区伤者最多占66.9%(330例);每年5~8月是咬伤高发月份,占98.8%(487例);被咬伤者均为户外活动,占100%(493例);30~39岁为主要高发年龄;下肢咬伤占61.9%(305例).咬伤后的就诊原因主要为去除虫体(无症状),伴随瘙痒、疼痛、发热等症状,应用多西环素治疗均临床治愈.结论:蜱虫咬伤后多数无症状,以去除虫体为目的就诊为主,合并瘙痒、发热等症状,患者应立即到正规医院诊治,推荐多西环素口服治疗.
Epidemiological characteristics of tick bite in the surrounding areas of Beijing from 2019 to 2023
Objective:To review the epidemiological characteristics of tick bites in Beijing and surrounding are-as over the past 5 years,and to provide a basis for standardized in-hospital diagnosis and treatment.Methods:The epidemiological characteristics of tick bite patients seen and admitted to the emergency department of the Fourth Medical Center of the General Hospital of the People's Liberation Army(PLA)from January 1.2019,to Decem-ber 31,2023,were descriptively analyzed.Results:A total of 493 cases were disposed of in the emergency depart-ment and 210 cases admitted to the hospital in 5 years,of which 362 cases(73.4%)were localized and 31 cases(0.06%)were febrile.The distribution of patients was mainly in Shunyi,Pinggu and Mentougou districts(330 ca-ses),with Mentougou district(330 cases)having the largest number of injuries,accounting for 66.9%,and May to August being the high incidence months of bites,accounting for 98.7%(487 cases),with 100%of the bitten persons(493 cases)being outdoor activities,and with the age of 30-39 years old being the main high incidence age,and 49.9%(246 cases)of the bites on the lower limbs.The main reason for consultation after bite was re-moval of the insect(asymptomatic),accompanied by itching,pain,fever and other symptoms,which were all clinically cured by application of doxycycline.Conclusion:Most of the tick bites were asymptomatic,and the main reason for consultation was to remove the insect,with local symptoms such as itching,and if symptoms such as itching and fever appeared,they should go to a regular hospital immediately,and Doxycycline was recommended for oral treatment.

tick biteepidemiologic profiletreatment

郝美林、李鸣睿、王宇宏、严力、朱明月、佘飞、张建波

展开 >

解放军总医院第四医学中心急诊科(北京,100048)

蜱虫咬伤 流行病学 诊治

2024

临床急诊杂志
华中科技大学同济医学院

临床急诊杂志

CSTPCD
影响因子:0.652
ISSN:1009-5918
年,卷(期):2024.25(8)