3T/CADERM3009—2019ICS11.160 C05 Specificationsfordiagnosisandtreatmentofnon-neonataltetanus 2019-09-06发布非新生儿破伤风诊断与治疗规范 2019-09-20实施 中国医学救援协会发布团体标准ICS11.020 CO4 全国团体标准信息平台 T/CADERM3009—2019 4目次 前言.............................................................................................................................................6 引言.............................................................................................................................................7 1范围..............................................................................................................................................8 2规范性引用文件.........................................................................................................................8 3术语、定义及缩略语.................................................................................................................8 3.1破伤风tetanus......................................................................................................................8 3.2新生儿破伤风neonataltetanus...........................................................................................8 3.3非新生儿破伤风non-neonataltetanus................................................................................9 3.4压舌板试验spatulatest.......................................................................................................9 3.5破伤风抗毒素tetanusantitoxin..........................................................................................9 3.6马破伤风免疫球蛋白equineanti-tetanusF(ab’)2.............................................................9 3.7破伤风人免疫球蛋白humantetanusimmunoglobulin......................................................9 3.8含破伤风类毒素疫苗tetanustoxoid-containingvaccine.................................................10 4临床特点...................................................................................................................................10 4.1发病诱因............................................................................................................................10 4.2潜伏期................................................................................................................................10 4.3临床分型及表现................................................................................................................10 4.4实验室检查........................................................................................................................11 5诊断...........................................................................................................................................12 5.1诊断依据............................................................................................................................12 5.2协助诊断............................................................................................................................12 5.3协助除外诊断....................................................................................................................12 6鉴别诊断...................................................................................................................................12 6.1概述....................................................................................................................................12 6.2狂犬病................................................................................................................................12 6.3脑膜炎................................................................................................................................12 6.4癫痫....................................................................................................................................12 6.5口腔感染或咽部感染........................................................................................................13 6.6颞下颌关节紊乱................................................................................................................13 6.7士的宁中毒.......................................................................