ICS 11. 020 C 05 蜱咬伤诊治规范 Specifications for diagnosis and treatment of tick sting 团 体 标 准 T/CADERM 3028-2020 2020-06-23发布 中 国 医 学 救 援 协 会 发 布 2020-07-23实施 全国团体标准信息平台 T/CADERM 3028-2020 I 目 次 前 言 ................................ ................................ .......... III 引 言 ................................ ................................ ........... IV 1 范围 ................................ ................................ ............. 1 2 规范性引用文件 ................................ ................................ ... 1 3 术语和定义 ................................ ................................ ....... 1 3.1 ................................ ................................ ............... 1 蜱瘫痪 tick paralysis ................................ ............................. 1 3.2 ................................ ................................ .............. 1 红肉过敏症 mammalian meat allergy ................................ ................ 1 3.3 ................................ ................................ ............... 2 蜱传疾病 tick-borne disease ................................ ....................... 2 4 总则 ................................ ................................ ............. 2 5 蜱的种类与分布 ................................ ................................ .... 2 5.1 种类 ................................ ................................ .......... 2 5.2 分布................................ ................................ .......... 2 6 临床表现 ................................ ................................ ......... 2 6.1 局部症状 ................................ ................................ ...... 2 6.2 过敏性休克 ................................ ................................ .... 3 6.2.1 过敏症状 ................................ ................................ . 3 6.2.2 休克表现 ................................ ................................ . 3 6.3 蜱瘫痪症 ................................ ................................ .. 3 6.4 红肉过敏症 ................................ ................................ . 3 6.5 感染性疾病 ................................ ................................ .... 3 6.6 蜱咬伤的致病机制 ................................ .............................. 3 7 诊治流程 ................................ ................................ ......... 4 8 诊治要求 ................................ ................................ .......... 4 8.1 诊断 ................................ ................................ .......... 4 8.1.1 流行病学调查 ................................ .............................. 4 8.1.2 辅助检查 ................................ ................................ .. 5 8.2 鉴别诊断 ................................ ................................ ...... 5 8.2.1 蜂蜇伤 ................................ ................................ .... 5 8.2.2 蚂蚁咬伤 ................................ ................................ .. 5 8.2.3 蜈蚣咬伤 ................................ ................................ .. 5 8.3 治疗 ................................ ................................ .......... 5 8.3.1 咬伤局部处置 ................................ .............................. 5 8.3.3 蜱瘫痪处置 ................................ ................................ 6 全国团体标准信息平台 T/CADERM 3028-2020 II 8.3.4 蜱传疾病的治疗 ................................ ............................ 6 8.4 预防破伤风 ................................ ................................ .... 6 9 心理干预 ................................ ................................ ......... 6 附录A ................................ ................................ ............... 7 （资料性附录） ................................ ................................ ...... 7 蜱的定义与图片 ................................ ................................ ...... 7 附录B ................................ ................................ ............... 8 （