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本文对云南省大理州1967～1987克山病流行情况进行了分析研究。结果显示:大理州11个县(市)、73个乡、378个自然村有克山病发病,病区主要分布在海拔1500～2020米的山间河谷盆地的第四系松散沉积物上。大理州1964年为一个克山病多发年,1972年为又一个多发年,但21年的资料分析未见多发年有周期性。每年发病以3～8月相对集中,最小发病年龄为三个月,最大为44岁,2～6岁年龄组患者占总病例数的69.48％。临床类型亚急型克山病占66.91％,急型占16.69％,但病理解剖未能证实本地区存在急型克山病。
This paper analyzes the epidemic situation of Keshan disease from 1967 to 1987 in Dali, Yunnan Province. The results showed that there were Keshan disease in 11 counties (cities), 73 townships and 378 natural villages in Dali Prefecture. The wards mainly distributed in Quaternary fluvial sediments in mountain valley basins of 1500 ~ 2020 meters above sea level. Dali Prefecture in 1964 as a Keshan disease multiple years, 1972 is another multiple years, but 21 years of data analysis has not seen many periodicities. The incidence of each year from August to August relative concentration, the minimum age of onset of three months, the maximum is 44 years old, 2 to 6 age group accounted for 69.48% of the total number of cases. The clinical type of subacute Keshan disease accounted for 66.91%, acute accounted for 16.69%, but the pathological anatomy failed to confirm the existence of acute Keshan disease in the region.