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疑似猪口蹄疫临床处理的重大误区

2012-08-25

KOUTIYI(Foot and Mouth Disease,JIANCHENGFMD)SHIYOUFMDBINGDU(FMDV)GANRANFASHENG,ZHUYAOGANRANZHU、NIU、YANGDENGOUTILEIDONGWU,ZHANGQIYILAIBEILIERURENCHUGONGHUANBINGLEIBIE。ANZHAOWOGUOZHENGFUXIANGGUANFALVGUIDING,FANJINGJUZIZHIDEZHUANYEJIGOUJIANDINGWEIFASHENGKOUTIYIDEZHUCHANG,JUNYINGZUOWUHAIHUACHULI。YINCI,ZHUNQUELIJIEKOUTIYIDEFABINGTEDIAN,ZUOHAOQIESHIKEKAODEFANGKONGCUOSHI,QUEBAORENCHUANQUAN,BIMIANSUNSHI,YIYIZHONGDA。

一、猪口蹄疫的临床症状

SHOUFMDVGANRANDEZHUYIBANBIAOXIANWEICHUN、BIJING、TIJIBURUQIMUZHUDERUFANGDENGBUWEIFASHENGSHUIPAO,BINGZHIKUILAN、TIXIATUOLUODENGCHANGJIANZHENGZHUANG,YANZHONGYINGXIANGDONGWUDEZHANLI、XINGZOU、CAISHIYUYINSHUI,BINGJINYIBUZAOCHENGXIAOSHOUNAIZHISHUAIJIEERSI;YANZHONGDEJIXINGGANRANANLIKEDAOZHIBINGDUXINGXINJIYANJIXINGFAZUOERZHICUSI,CHUSHAOSHUBINGCHUBIKONGOUJIANBAISERUZHUANGYETILIUCHU、TIGUANBUCHENGTOUMINGZHUANGHUANDAIWAI,DADUOSHUBINGCHUSIQIANJIHUWURENHEKESHIZHENGZHUANG;POUJIANWANGWANGKEJIANXINSHIJIBIAOMIANCHENGDAIZHUANGHUAISITIAOWEN,GUBEICHENGZUO“HUWENBAN”HUAISI。GANRANFMDVHOU,CHUBURUQIYOUCHUCHANGJIANFASHENGDABILICUSIWAI,SHENGZHANGFEIYUQIDEBEIGANRANZHUFASHENGYISIXINJIYANCUSIDEANLISIYOURIJIANZENGJIAZHIQUSHI,KEJIZHUCHANGZAOCHENGZHONGDASUNSHI。

二、猪口蹄疫的流行特征

ZHUKOUTIYIJUJIQIANGZHICHUANBONENGLI,SHUDIANXINGDEJIECHUXINGCHUANBOLEIYIBING,DANBUPAICHUTONGGUOKONGQIQINANGJIAOCHUANBO(YOUXUEZHERENWEI,YANGEDISHUO,HOUZHEYIYINGGUISHUWEIJIECHUXINGCHUANBO)。ZHANGQIYILAI,FMDBEIRENWEIJIJIEXINGFABINGCHUANBOTEZHENGMINGXIAN,DANZAIDASHENGTAIHUANJINGELIE、DONGWUSHEHUIQUNTIMIANYIGONGNENGPUBIANCHUYUWENLUANZHUANGTAIBEIJINGXIA,ZHUFMDSIYOUCHANGTAIFABINGQUSHI。JINGZHANGTUFANYUN、YINGJIYANZHONGDEBIAOGUANJIANKANGZHUQUNZAITUCHANGHUOZHUCHUBEILANHUOZHONGZHUANCANGTINGLIUCHAOGUO48XIAOSHIDEDAIZAIZHU,CHANGKEJIANDAOYISIFMDZHENGZHUANG,YINGKEZUOWEIFMDVCHANGTAICUNZAIDEDIAOCHAYIJUZHIYI。

YIBANRENWEI,ZAIYAZHOUDIQU,DAGUIMODEYIBINGLIUXINGRENGYIQIUMOZHICHUNCHUCHANGJIAN。CIZHONGQINGKUANGDECUNZAISIHUJINYIBUYANZHENGLEFMDLIUXINGDEYIGEZHONGYAOTIAOJIAN:JIHUANJINGWENDUFASHENGJUBIAN、CENGSHOUYISIZHULIUGAN(SUCHENGGAOREBING)、CHUANRANXINGWEICHANGYANJILIUXINGXINGFUXIEDENGQITABINGLEIBOJIDEZHUQUN,QIQUNTIMIANYIGONGNENGDASHOUSUNSHANG,YOUQISHIRENGWEIYINQIXUEJIEJIYEJIEPUBIANZHONGSHIDEHUXIDAOJIXIAOHUADAOZHANMOMIANYIGONGNENGDESUNSHANG,KENENGHUIGENGJINYIBUXUERUOJITIDEZONGTIMIANYIGONGNENG,YINERSHIDONGWUQUNTIDUIFMDVGENGWEIYIGAN。LINGYIFANGMIAN,SIHUYEKEBUFENSHUOMINGDONGWUJITIZHENGTIMIANYIGONGNENGWANZHENGDEZHONGYAOXING:JISHIMOUXIEDIQUYIANGUICHENGDUIZHUQUNZUOLE2-3CIDEDUIYINGXINGHAODEYIMIAOJIEZHONG,DANRENGWUFADIXIEFMDDERUQIN(YOUYUSHIYANSHIKEKAOSHUJUDEQUESHI,YIMIAODUZHUDETEYIXINGZHUNQUEDUJIMIANYIYUANXINGGAODICHENGDUBUZAIBENWENTAOLUNFANWEI)。

CHENGRAN,CONGZHENGTIMIANYIXUEYUANLIJIAODUCHUFALAIKAN,YOUMIEHUOYIMIAOJIFADEZHONGHEKANGTIJINSHIDONGWUMIANYIGONGNENGFANYINGDEYIBUFEN,CHULEZAOYIYOUXUEJIERENZHIDEXIBAOMIANYIGONGNENGRENGWEINENGYILIANGHUA、BIAOZHUNHUAZHIBIAODADAOKEYINGYONGCAOZUOZHUANGTAIWAI,SHISHISHANGHAIYOUHENDUOMIANYIXUEDELINGYUSHANGDAITANSUOYANJIU,QIZHONG,FEITEYIXINGMIANYIGONGNENGDEYANJIUYINGGAISHOUXIANCONGSHENGCHANSHIJIANZHONGJIAYIRENZHENTANTAO,SHIZHENGXINGJIQIANGDESHOUYIKEXUEWULUNCONGLILUNYANJIUHAISHISHIJICAOZUOSIHUDOUBUYINGGAIJINJINJUXIANZAITEYIXINGZHUDONGMIANYIDEZHONGHEKANGTIDIDUYIGEZHIBIAOSHANG。JINSHINIANLAI,YANGZHUYERENSHISHENSHENTIHUIDAODEYIMIAOYUYONGYUDUO,ZHUBINGYULAIYUDUODESHISHI,BUJINYINGCONGKOUTIYILIUXINGDEJIAODU,ERQIEHAIYINGCONGZHENGGECHUQINYIBINGFANGKONGDAXITONGDEJIAODUJIAYIQUANMIANRENZHENDEFANSI,BINGCONGZHONGZHAODAOYOUYIDEQISHI。

CIWAI,SHOUYISIFMDVGANRANDEZHUCHANG,QIFABINGSHUNXUYIBANWEI:SHENGZHANGFEIYUZHUQUN(YOUYI90GONGJINTIZHONGZUOYOUDEDAZHUWEISHEN)→HOUBEIZHONGZHUQUN→RENSHENZHUQUN→CHANFANGBURUMUZHUJIZIZHU→BAOYUSHEXIAOZHU。ZHEISHIFOUYUSHENGZHANGFEIYUZHUDESIYANGMIDUGAO、YINGJIXIANGDUIJIAOZHONG、HUANJINGWEISHENGJIAOCHAYOUGUANSHANGDAIJINYIBUYANJIU,DANHAOWUYIWENDESHI,SHENGZHANGFEIYUZHUDELIETIQINGKUANGXIANGDANGYANZHONG(TUCHANGHUOROUCAISHICHANGJIHUZHAOBUDAOYIZHIMEIYOULIEWENSUNSHANGDETIXIA),SHOUDUFANGXIEPINGZHANGJIHUWANQUANSANGSHI,BINGYUANWUXUQIAOMENBIANKEZHANGQUZHIRU,HAOWUYIWENYISHIZAOCHENGFMDDALIUXINGDEZHONGYAOBEIJINGYUANYINZHIYI。

三、 猪口蹄疫临床处理的重大误区

YUQITAYIBINGDELINCHUANGCHULICUNZAIZHUDUOWUQUXIANGSI,YOUYUXIANSHIYANGZHUYEJIEDEJISHUSUYANGPUBIANCUNZAIJIDAITIGAODEZHUANGKUANG,ZAICHULIKOUTIYIWENTISHANGYIYOUHENDUOBIXUJIUZHENGDEWUQU。QIZHONGWEIHAIZUIDADESHIDUIBINGDUGANRANYUXIJUNGANRANDECHULICUNZAIJIBENYUANLIDEMIWU,ZHONGSUOZHOUZHI,YOUYUBINGDUJIEGOUJIQIFANYANXIXINGDETESHUXING,ZHIJINWEIZHI,JIHUMEIYOURENHEYAOWUKEYIZHIJIEYONGZUOZHILIAOYONGTU,YINCI,CONGYERENYUAN“JIANBINGJIUDAZHEN”DEXIGUANDUIGANRANLEFMDDEZHUQUNLAISHUOCHULEJIAZHONGYINGJI,BINGJIAKUAICHUANBOSUDU(DUOZHIZHUGONGYONGYIGEZHENTOU、CAOZUORENYUANZUOWEICHUANBOMEIJIE)WAI,BINGWURENHEBANGZHU,RUGUOZHUSHELESHIMIANSHANGCHANGJIANDEMOUXIECHANYOUANNAIJINDENGZHONGSHUSHENJINGXITONGTUIREGONGNENG、ANJIBINGLIN、DISAIMISONGDENGKANGGUOMINLEIYAOWUDESUOWEIZHONGYAOCHENGFENDEZHENJI,HAOWUYIWENHUILINGDONGWUJITIXIBAOMIANYIGONGNENGJIJUXIAJIANG,BINGSUIZHIFASHENGBUKEBIMIANDEDAPISIWANG。MOUXIEJICENGSHOUYIRENWEITONGGUOZHUSHEMOUXIEKANGSHENGSUKEWANGKONGZHIJIFAXINGXIJUNGANRANDELIANGHAOYUANWANG,CHULEYIRANCUNZAIBENMODAOZHIDEWUQUWAI,GUOFENSHANGYEHUADEQULIXINGWEIWANGWANGSHIZAOCHENGZHUBINGJIAJUDEYUANDONGLI。

四、 疑似发病猪群的临床处理方案

RUGUOZHUQUNFASHENGLESHANGWEIQUEZHENDEYISIFMDZHENGZHUANG(LINCHUANGSHANGWANGWANGYOURENJIANGTONGYANGJUJIAOQIANGCHUANBOTEZHENGDE“SHUIPAOBING”WUZUOFMD),CONGJIANSHAOSUNSHIDEJIAODUCHUFAYINGZUORUXIACHULI:

1. GELIYISIBINGZHU,JIANSHAOCHUANBOJIHUI。

2. BAOCHIZHUSHETONGFENG、GANZAO(SHENEIXIANGDUISHIDUZUIHAOBAOCHI65%YIXIA,CHANFANG、BAOYUSHEKEYONGSHAOHUOPENDETUBANFALAISHENGWENQUSHI)、WENNUAN(ZUIHAOZHOUYEBAOCHI25℃YISHANG)。

3. YONGZHENZHENGYOUXIAODEXIAODUYAOJIAQIANGXIAODU,DANYIBUZENGJIASHENEISHIDUWEIYUANZE。

4. ZAISILIAOZHONGTIANJIAQUEJUMIANYIDIAOJIEGONGNENGDETIANJIAJI(RUFUYUANKANGA)HEFUHEWEISHENGSU,YIJIAKUAIJITIHUIFU。

注:本文刊登《北方牧业》第7期第18页

来源:omnimint.com