2 967 cases of hospitalized children with hepatitis B vaccine based immune level of immunity after investiga-tion and analysis / 中国基层医药

Objective To understand the protective effects of children after hepatitis B vaccine immunization since 1992,when the hepatitis B vaccine into childhood immunization strategy .Methods Hospitalized children from venous blood,using enzyme-linked immunosorbent assay(ELISA),to investigate and analyze the immune status based hepatitis B immune of hospitalized children (Infection,Pediatric),by five indicators of hepatitis B as the judgment standard.Results The total anti-HBs-positive rate was 55.05%,including infection anti-HBs-positive rate 52.18%, the pediatric anti-HBs-positive rate 55.92%.Male anti-HBs positive rate was 54.17%,the female anti-HBs positive rate was 56.6%,there was no statistical significance among departments and sexs (P>0.05).Conclusion Hepatitis B vaccination is the effective control means for hepatitis B ,however,the anti-HBs positive rate is low in this region after hepatitis B vaccine immunization ,needed to reseed .

Clinical analysis of 198 cases with mumps / 中国基层医药

Objective To investigate the epidemiological characteristics and clinical features of mumps.Methods The epidemiological characteristics,clinical manifestations and treatment of 198 cases with mumps were retrospectively analyzed.Results The onset age of mumps was less than 15 years old,men more than women,the crowd distribution was mainly the students,especially in winter,spring and summer.The clinical characteristics were as following:corresponding parotid gland enlargement occurred at the onset of mumps,some of the patients may be accompany by fever,nausea,vomiting,chest tightness,palpitation,or had the performance of the headache,dizziness,muscle weakness,sleepiness and nervous system complications.The results of laboratory tests showed that white blood cell(WBC) of most patients was in the normal range; blood,urine amylase obviously increased; a few cases with abnormal myocardial enzyme spectrum and liver function.Chest X-ray and electrocardiogram(ECG) were normal.4 cases had EEG abnormality.All cases received ribavirin antiviral treatment,and were given corresponding symptomatic treatment to the complications,all patients recovered.Conclusion Epidemiological characteristics were local epidemic,obvious seasonal difference,the student was the main body.Common complications were encephalitis,gland inflammation,myocarditis,hepatitis,etc.,mumps vaccine should be advocated in the students.