中 国 医 学 救 援 协 会 发 布 ICS 11. 020 C 05 猫抓咬伤诊治规范 Specifications for the diagnosis and treatment of cat scratch diseases 2020-06-23发布 2020-07-23实施 团 体 标 准 T/CADERM 3014-2020 全国团体标准信息平台 T/CADERM 301 4-2020 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猫 ................................ ................................ ........... 1 3.2猫抓咬伤 ................................ ................................ ..... 2 3.3猫抓病 ................................ ................................ ....... 2 3.4狂犬病 ................................ ................................ ....... 2 3.5破伤风 ................................ ................................ ....... 2 3.6清创 ................................ ................................ ......... 3 3.7暴露后预防 ................................ ................................ ... 3 3.8心理干预 ................................ ................................ ..... 3 4 总则 ................................ ................................ .............. 3 5 发病机理 ................................ ................................ .......... 3 5.1 损伤机理 ................................ ................................ .... 3 5.2 感染机理 ................................ ................................ .... 4 6 临床表现 ................................ ................................ .......... 4 6.1 红肿热痛 ................................ ................................ .... 4 6.2 猫抓热 ................................ ................................ ...... 4 6.3 猫藓 ................................ ................................ ........ 4 6.4 狂犬病 ................................ ................................ ...... 4 6.5 破伤风 ................................ ................................ ...... 4 7 诊疗流程 ................................ ................................ .......... 4 7．1 概述 ................................ ................................ ....... 4 7.2 流程图 ................................ ................................ ...... 5 8 诊断与评估 ................................ ................................ ........ 6 8.1 诊断依据 ................................ ................................ .... 6 8.2 生命体征评估 ................................ ................................ 6 8.3 伤口评估 ................................ ................................ .... 6 8.4 免疫史评估 ................................ ................................ .. 6 8.5 实验室评估 ................................ ................................ .. 6 9 治疗 ................................ ................................ .............. 7 9.1 镇静镇痛 ................................ ................................ .... 7 9.2 伤口规范处理 ................................ ................................ . 7 9.3 暴露后进行被动免疫和使用抗生素 ................................ .............. 7 9.4 暴露后进行主动免疫 ................................ .......................... 7 10 并发症 ................................ ................................ ........... 8 10.1 伤口感染 ................................ ................................ ... 8 10.2 狂犬病 ................................ ................................ ..... 8 10.3 破伤风 ................................ ................................ ..... 8 全国团体标准信息平台 T/CADERM 301 4-2020 II 10.4 淋巴结肿大或（和）化脓性疾病 ................................ ...............