首页|《非新生儿破伤风诊疗规范(2024年版)》要点解读

《非新生儿破伤风诊疗规范(2024年版)》要点解读

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非新生儿破伤风是指年龄超过28d,因破伤风梭状芽孢杆菌通过皮肤或黏膜破口侵入人体,在厌氧环境中繁殖并产生外毒素,引起的以全身骨骼肌持续强直性收缩和阵发性痉挛为特征的急性、特异性、中毒性疾病.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.为进一步规范非新生儿破伤风的诊断、治疗和预防,专家组在《非新生儿破伤风诊疗规范(2019年版)》基础上,结合临床应用实践及近年来领域内的研究进展,修订并制定本规范,以指导各级医疗机构进行非新生儿破伤风的防治工作.本文对2024年版诊疗规范的更新要点及依据进行解读,以指导临床实施和应用.
Interpretation of the key points of Regulation for Diagnosis and Treatment of Non-neonatal Tetanus(2024 Edition)
Non-neonatal tetanus is an acute,specific,toxic disease in patients over 28 days of age,characterized by continuous rigidity and paroxysmal spasms of the skeletal muscles throughout the body caused by the intrusion of Clostridium tetani through skin or mucosal membrane into the body and reproducing in anaerobic environments to produce exotoxins.The mortality rate of severe patients is close to 100%without medical intervention.Even with aggressive comprehensive treatment,the global mortality rate remains at 30%-50%,making it a potentially fatal disease.In order to standardize the diagnosis,treatment and prevention of non-neonatal tetanus,based on"Regulation for Diagnosis and Treatment of Non-neonatal Tetanus(2019 Edition)",experts have revised this regulation according to clinical practice and recent research progress in this field to guide medical institutions in the prevention and control of non-neonatal tetanus.This article interprets the key points and basis for updating the 2024 edition regulation to guide clinical implementation and application.

TetanusNon-neonatalDiagnosisTreatmentPrevention

刘斯、刘珵、刘佳阳、陈庆军、康新、兰频、薛乔升、朱政纲、吕新军、殷文武、王传林

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北京大学第一医院急诊科,北京 100034

北京大学人民医院急诊外科,北京 100044

首都医科大学附属北京朝阳医院急诊科,北京 100020

南方医科大学第五附属医院急诊科,广州 510900

温州医科大学附属第五医院急诊医学中心,丽水 323000

青岛市第八人民医院急诊医学部,青岛 266000

武汉市疾病预防控制中心免疫规划所,武汉 430024

中国疾病预防控制中心病毒病预防控制所,北京 102206

中国疾病预防控制中心传染病管理处,北京 102206

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破伤风 非新生儿 诊断 治疗 预防

2024

中华流行病学杂志
中华医学会

中华流行病学杂志

CSTPCD北大核心
影响因子:1.985
ISSN:0254-6450
年,卷(期):2024.45(11)