Garín M A
Hospital de Enfermedades Infecciosas Dr Lucio Córdova, Servicio de Salud Metropolitano Sur, Santiago de Chile.
Rev Med Chil. 1991 Dec;119(12):1387-95.
Chile had been free from cholera in the last century. An outbreak of the disease affected Chile since april 1991, as part of the 7th pandemic of this disease. The present communication summarizes the clinical and epidemiologic characteristics of the first 7 patients seen at Dr Lucio Cordova's Hospital in Santiago. Four patients were males, 4 older than 58 years. None was a contact of persons travelling from the heavily affected Peru or had eaten raw fish or shellfish. Diarrhea was the most prominent sign with a daily volume over 8 liters in 2 patients. Vomiting and cramps occurred in 5 patients, 6 had some degree of dehydration and 3 were hypotensive. Metabolic acidosis was the main electrolyte alteration and renal insufficiency was evident in 3 cases. Treatment was based on rehydration and antibiotics. There were no deaths.
智利在上个世纪曾无霍乱疫情。自1991年4月起，作为该疾病第七次大流行的一部分，霍乱疫情在智利爆发。本报告总结了圣地亚哥卢西奥·科尔多瓦医生医院收治的首批7例患者的临床和流行病学特征。4例患者为男性，4例年龄超过58岁。无一例患者与来自疫情严重的秘鲁的旅行者有过接触，也没有食用过生鱼或贝类。腹泻是最突出的症状，2例患者每日腹泻量超过8升。5例患者出现呕吐和痉挛，6例有不同程度脱水，3例血压过低。代谢性酸中毒是主要的电解质紊乱，3例患者出现明显的肾功能不全。治疗以补液和使用抗生素为主。无一例死亡。
