Download - 狂犬病
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: (Lyssaviruses )Rhabdoviridae
: US CDC
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()
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: University of South Carolina School of Medicine
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38
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3~712(skunk)8
Control of Communicable Diseases Manual 19th ed
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40%Control of Communicable Diseases Manual 19th ed
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385-7
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2-4
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190011 194719591961200220122013213
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:2252
YearCasesDeaths1948333319499292 19508383195123823819521021021953525219545858195550501956 (implemented control policies)464619572222195866195900Total 782782 (100%)
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7/103PCR1015-110111101123
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(furious form) ( paralytic form)
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2/3 fluctuating consciousness: hydrophobiaaerophobiaautonomic stimulation signshypersalivation
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1/3 (Guillain-Barre syndrome)(percussion myoedema)
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>>
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Lancet Neurol 2013; 12: 498513
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100%1-2Milwaukee protocol
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: ()3 1 PCR
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24
2451
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Rabies virus
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3 mL
1 mL
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NA
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1. 2. 3. 1. 2.
1. 2. 1. 2.
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1. 2. 1. 2. 3.
1. 2.
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(HRIG)
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1570%(2
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WHO
+(5)+(5)+ HRIG +(5)+ HRIG+(5)+ HRIG
+(2)+(2) +(5)+(5)
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MMWR Recomm Rep. 2010 Mar 19;59(RR-2):1-9
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2013/07/31
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HRIG-17 ()20 IU/kg7HRIG
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HRIG-223 HRIG
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50(0)3714 28 ()203
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-1HRIG12Guillain-Barr
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-230
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