乌龟刻苦
发表于 3 天前
义乌已有人中招！早期症状很像感冒，潜伏期4天至21天
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <p class="empty_paragraph" style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; letter-spacing: 0.544px; background-color: #ffffff; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; text-align: center; visibility: visible;"> </p><section><section><section><section><section><section><section style="margin: 10px auto; display: flex; flex-direction: column;"><section style="display: flex; justify-content: space-between; align-items: flex-end;"><section style="width: 30px; height: 30px; background-color: #66aceb; margin-bottom: -28px;"></section><section style="width: 30px; height: 30px; background-color: #66aceb; margin-bottom: -28px;"></section></section><section style="background-color: #ffffff; padding: 7px 20px; margin-right: 2px; margin-left: 2px; z-index: 4;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 16px; color: #333333; background: transparent;"><p style="text-indent: 2.1875em;"><span style="color: #000000; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">近日，向来身体健朗的金爷爷（化名）忽然出现</span><strong><span style="caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei; color: #d92142;">发热症状</span></strong><span style="color: #000000; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">，最高体温达</span><span style="caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei; color: #d92142;"><strong>39.9℃</strong></span><span style="color: #000000; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">，且伴有</span><span style="caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei; color: #d92142;"><strong>畏寒、头晕头痛、咳嗽、肌肉酸痛</strong></span><span style="color: #000000; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">等症状</span><span style="color: #000000;"><span style="color: #000000; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">。</span>然而，金爷爷在诊所连续输液4天后，症状仍不见好转，且全身竟出现了红色皮疹，这究竟是怎么一回事？</span></p></section></section><section style="display: flex; justify-content: space-between;"><section style="width: 30px; height: 30px; background-color: #66aceb; margin-top: -28px;"></section><section style="width: 30px; height: 30px; background-color: #66aceb; margin-top: -28px;"></section></section></section></section><section><p> </p></section><section><p><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 100%;" src="https://pics-app.cnyw.net/FnpmJaKn_vqLjrWJZiCvVXhCOWiC" /></p></section><section><p> </p></section><section><p style="text-indent: 2em;"><span style="font-size: 16px;">“近段时间天气变冷，我以为是受凉感冒了，到义乌市中心医院问诊后，<span style="color: #d92142;"><strong>血常规检查提示炎症指标偏高</strong></span>，医生建议入院进一步检查。”金爷爷说，他和家人都没想到会这么严重。</span></p></section><section><p style="line-height: 1.6em;"> </p><p style="line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">入院后，感染科医师贾相成详细询问了流行病史，得知金爷爷此前曾上山砍柴。在检查中，医生发现金爷爷右侧乳头下有一处“黑色焦痂”。综合伤口情况和诊治经验，金爷爷被确诊为恙虫病。</span></p><p style="line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;"> </span></p><section><section style="margin: 10px auto;"><section style="margin-bottom: 20px;"><p style="text-align: center; font-size: 16px; color: #0074c6;"><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 100%;" src="https://pics-app.cnyw.net/FgMwlB5KuWMPcF41tHkx6E74oWfY" /></p><p style="text-align: center; font-size: 16px; color: #0074c6;"> </p><section style="background-color: #f1f7fc; padding: 10px; margin-top: 10px; margin-bottom: 3px;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent;"><p><strong><span style="color: #000000; font-size: 16px; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">义乌市中心医院感染科主任 楼莲青：</span></strong></p><p> </p><section style="max-inline-size: 100%; cursor: text; line-height: 1.75em;"><span style="max-inline-size: 100%; cursor: text; font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">“</span><span style="max-inline-size: 100%; cursor: text; font-size: 16px; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei; color: #d92142;"><strong>焦痂和溃疡是恙虫病的特征之一</strong></span><span style="max-inline-size: 100%; cursor: text; font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">。恙虫非常小，只有1毫米左右，这也是老人被咬后毫无察觉的主要原因。通常情况下，</span><span style="background-color: transparent; caret-color: red; color: #000000; font-size: 16px; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">恙螨幼虫叮咬后</span><span style="background-color: transparent; caret-color: red; font-size: 16px; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei; color: #000000;">先出现红色丘疹，成水疱后破裂，中央坏死，结痂呈褐色或黑色</span><span style="background-color: transparent; caret-color: red; color: #000000; font-size: 16px; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">，也就是<span style="font-family: 微软雅黑, Microsoft YaHei; font-size: 16px; letter-spacing: normal; caret-color: #ff0000; background-color: #f1f7fc;">‘</span>焦痂<span style="font-family: 微软雅黑, Microsoft YaHei; font-size: 16px; letter-spacing: normal; caret-color: #ff0000; background-color: #f1f7fc;">’</span>。痂皮脱落后成小溃疡，一般没有明显的痛痒感，偶尔继发化脓。虽然这只是一个‘小不点’，但危害非常大，</span><span style="background-color: transparent; caret-color: red; font-size: 16px; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei; color: #d92142;"><strong>严重可致命</strong></span><span style="background-color: transparent; caret-color: red; color: #000000; font-size: 16px; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">。”</span></section></section></section></section></section></section><p style="line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">幸运的是，经过对症精准治疗，金爷爷目前已经康复出院。</span></p><p style="line-height: 1.6em;"> </p><p style="line-height: 1.6em;"><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 100%;" src="https://pics-app.cnyw.net/FvKPrfJUKDICpZHuCNWPADJJXBcM" /></p><section><p> </p></section><section><section style="margin: 10px auto;"><section style="margin-bottom: 20px;"><section style="font-size: 16px; color: #0074c6; text-align: center;"><strong>什么是恙虫病？</strong></section><section style="background-color: #f1f7fc; padding: 10px; margin-top: 10px; margin-bottom: 3px;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent;"><p style="text-indent: 2.1875em;"><span style="color: #000000; font-size: 16px; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">恙虫病是<strong>由恙虫病东方体引起的急性传染病</strong>，主要通过恙螨幼虫叮咬传播，<strong>鼠类是最重要的储存宿主</strong>。恙虫病早期缺乏特异性症状表现，</span><span style="color: #d92142; font-size: 16px; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;"><strong>极易误诊和漏诊</strong><strong>，未经治疗的病例病死率可高达30％～70％</strong></span><span style="color: #000000; font-size: 16px; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">。</span></p></section></section></section><section style="margin-bottom: 20px;"><section style="font-size: 16px; color: #0074c6; text-align: center;"><strong>恙虫病的临床表现</strong></section><section style="background-color: #f1f7fc; padding: 10px; margin-top: 10px; margin-bottom: 3px;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent;"><p style="text-indent: 2.1875em;"><span style="color: #d92142;"><strong><span style="font-size: 16px; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">恙虫病潜伏期4天至21天，一般持续10天至14天</span></strong></span><span style="color: #000000; font-size: 16px; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">，起病多突然，体温迅速上升，可达39℃，甚至40℃以上，常伴有畏寒、剧烈头痛、恶心呕吐、四肢酸痛等，身上有焦痂或溃疡。</span></p></section></section></section><section style="margin-bottom: 20px;"><section style="font-size: 16px; color: #0074c6; text-align: center;"><strong>如何预防恙虫病</strong></section><section style="background-color: #f1f7fc; padding: 10px; margin-top: 10px; margin-bottom: 3px;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background: transparent;"><p style="text-indent: 2.1875em;"><span style="color: #000000; font-size: 16px; caret-color: #ff0000; font-family: 微软雅黑, Microsoft YaHei;">恙螨幼虫喜欢生活于暖湿的丛林绿野、溪畔湖岸，通常喜爱叮咬潮湿、气味较浓的部位，如腋窝、腹股沟等处。</span><span style="color: #000000; font-size: 16px; letter-spacing: 0px; background-color: transparent; caret-color: red; font-family: 微软雅黑, Microsoft YaHei;">恙虫病目前没有预防的疫苗，关键是避免叮咬。因此，无论居家还是到户外游玩，大家一定要做好这几点：</span></p><p style="text-indent: 2.1875em;"> </p><p style="line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">1.灭鼠是主要措施，患者不必隔离。</span></p><p style="line-height: 1.6em; text-indent: 2em;"> </p><p style="line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">2.改善环境卫生，清除杂草，并在杂草生长处喷洒杀虫剂，以使居住地和周边环境无恙螨虫滋生。</span></p><p style="line-height: 1.6em; text-indent: 2em;"> </p><p style="line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">3.尽量避免在草丛、灌木中坐、卧、晾晒衣被。在野外活动时，应把袖口、裤脚口扎紧，并涂上防虫剂，避免被恙螨虫叮咬，野外活动后应及时换衣洗澡。</span></p><p style="line-height: 1.6em; text-indent: 2em;"> </p><p style="line-height: 1.6em; text-indent: 2em;"><span style="font-size: 16px; color: #000000; letter-spacing: 0px; font-family: 微软雅黑, Microsoft YaHei;">4.有恙螨虫叮咬史或野外活动史的人，一旦出现恙虫病的疑似症状或体征，应及早就医，并告知医生其野外活动史和叮咬史。</span></p></section></section></section></section></section></section></section></section></section></section></section><section style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; letter-spacing: 0.578px; background-color: #ffffff; text-align: left; visibility: visible; caret-color: rgba(0, 0, 0, 0); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px;"></section><section style="-webkit-tap-highlight-color: transparent; outline: 0px;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 12px; color: #888888;">来源<span style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.578px;"> |<span style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.578px;"> </span></span><span style="color: #888888; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 12px; letter-spacing: 0.578px; text-align: left; caret-color: rgba(0, 0, 0, 0); background-color: #ffffff;">义乌市融媒体中心</span></span></section></section></section></section></section></section><section style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; letter-spacing: 0.578px; background-color: #ffffff; text-align: center; font-size: 16px; caret-color: rgba(0, 0, 0, 0); visibility: visible; font-family: system-ui, -apple-system, Arial, sans-serif;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; visibility: visible; letter-spacing: 0.578px;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgba(0, 0, 0, 0.8); visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: #222222; vertical-align: initial; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px;"><section style="-webkit-tap-highlight-color: transparent; margin-bottom: 0em; outline: 0px; letter-spacing: 0.54px; visibility: visible; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; line-height: 28.44px; letter-spacing: 0.54px; min-height: 0px; background-image: none; background-clip: border-box; background-size: auto; bottom: auto; float: none; height: auto; left: auto; max-height: none; min-width: 0px; text-decoration-style: solid; text-decoration-color: #333333; top: auto; z-index: auto; visibility: visible; clear: none; background-position: 0% 0%; background-repeat: repeat; border: 0px none #333333;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; visibility: visible;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; line-height: 28.44px; letter-spacing: 0.54px;"><section style="-webkit-tap-highlight-color: transparent; margin: 10px auto; outline: 0px; display: flex; justify-content: space-between; align-items: flex-end;"><section style="-webkit-tap-highlight-color: transparent; outline: 0px; display: flex; justify-content: center; align-items: flex-end;"><section style="-webkit-tap-highlight-color: transparent; margin-left: 10px; outline: 0px; width: auto;"><p style="-webkit-tap-highlight-color: transparent; outline: 0px; color: #000000; font-size: 14px; letter-spacing: 1.5px;"> </p></section></section></section></section></section></section></section></section></section></section></section></section></section><p style="display: none;"> </p> <!----></div>
sasa118
发表于 3 天前
小小恙虫致病会要命。
天眼极光
发表于 3 天前
凡事都要小心
zgj
发表于 3 天前
少见的寄生虫传染病，注意防范。
松风古道
发表于 3 天前
上山应当心！
与狼共舞060
发表于 3 天前
:(:(:(
大樟树zzz
发表于 3 天前
这种病，以前好像很少听说过在义乌？
细心的坛友
发表于 3 天前
可怕
绣湖残雪
发表于 3 天前
蜱虫叮咬也很厉害的
甜石榴
发表于 3 天前
注意预防，小心为上