International Journal of Clinical Research
International Journal of Clinical Research. 2023; 7: (6) ; 10.12208/j.ijcr.20230251 .
总浏览量: 245
恩施市中心医院 湖北恩施
*通讯作者： 蒋慈喜,单位：恩施市中心医院 湖北恩施；
目的 分析一起接种百白破及脊髓灰质炎疫苗偶合化脓性脑膜炎案例，为疑似接种异常反应处置提供参考；方法 收集病例资料，开展系列调查，综合分析；结果 患儿所患化脓性脑膜炎与疫苗接种无关，属预防接种偶合症；结论 加强疑似预防接种异常反应病例的监测、诊断和处理，做好疫苗管理，严格接种规范要求，掌握接种禁忌症，减少接种不良反应与偶合症的发生，提升临床医生诊断思维，避免延误诊治。
Objective To analyze a case of suppurative meningitis caused by diphtheria pertussis and poliomyelitis vaccine, so as to provide reference for treatment of suspected abnormal vaccination reaction; Methods Collect the case data, and carry out a series of investigations and comprehensive analysis; Results The purulent meningitis of the children had nothing to do with vaccination, but belonged to vaccination coincidence; Conclusion Strengthen the monitoring, diagnosis and treatment of suspected cases of abnormal vaccination reaction, do a good job in vaccine management, strictly regulate the requirements of vaccination, master the vaccination contraindications, reduce the occurrence of adverse reactions and coincidence, improve the diagnostic thinking of clinicians, and avoid delay in diagnosis and treatment.
[1] 季美娟.接种吸附无细胞百白破疫苗偶合川畸病一例[J].上海预防医学, 2015, 27(11):2.
[2] 王卫平 朱建幸.儿科学: 英汉对照[M].人民卫生出版社,2007.
[3] 卫生部.全国疑似预防接种异常反应监测方案[J].中国疫苗和免疫, 2022.
[4] 刘文辉.卫生防疫概论[M].中国中医药出版社,2010.
[5] 黄友岐.神经病学.2版[M].人民卫生出版社,1993.
[6] 李兰馨,邵建超,颜新秀.一起接种脊髓灰质炎和百白破疫苗偶合婴儿痉挛症案例分析[J].海峡预防医学杂志, 2019(6):3.
[7] 林琳,付思美,田鑫,等.吉林省2020-2021年适龄婴儿脊髓灰质炎灭活疫苗和无细胞百白破联合疫苗单独和同时接种的不良反应发生率[J].中国疫苗和免疫, 2022(004):028.
[8] 黄蓉,王凤双,肖雷,等.1例接种无细胞百白破联合疫苗和A群脑膜炎球菌多糖疫苗偶合婴儿痉挛症分析[J].中国疫苗和免疫, 2020, 26(2):4.
[9] 王晶晶,金贞爱(通讯作者).儿童化脓性脑膜炎的诊断与治疗附一例报告[J].医药界, 2020.
[10] 李承,孙丹,王晶,等.90例儿童化脓性脑膜炎病原学及临床表现和预后[J].中华医院感染学杂志, 2022, 32(18):4.