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目的掌握2014年云南省克山病病例转归与现症患者的病情分布情况。方法以2012年云南省克山病报表为基础随访在册病例,对现症患者临床检查,并根据《克山病诊断》WS/T 210-2011标准核实原有诊断。结果 2014年云南省存在历史克山病病例资料963例,其中潜在型229例、慢型734例,死亡240例,失访297例;克山病患者平均年龄(43.8±16.2)岁;现症病例429例,复核确诊341例,其中慢型占66.0%、潜在型占34.0%;潜在型克山病3~14岁年龄组患病比例最高占22.4%,慢型克山病35~44岁年龄组患病比例最高占29.8%;现症患者临床心电图检查365例,异常改变231例,异常率为63.3%;拍摄X片254例,心脏增大150例,异常检出率59.1%;心脏超声检查127例,异常检出率为29.6%;异常心电图改变以完全性右束支传导阻滞、窦性心动过缓为主,分别占13.9%和13.4%。结论目前云南省克山病病情稳定,以慢型为主,主要危害青壮年人群,工作重心应放在对慢型克山病的治疗与青年人群的预防方面。
Objective To grasp the distribution of Keshan disease cases in Yunnan province in 2014 and the prevalence of the disease. Methods Based on the report of Keshan Disease in Yunnan Province in 2012, the patients were followed up for clinical examination and the original diagnosis was confirmed according to the “Keshan Disease Diagnosis” WS / T 210-2011 standard. Results There were 963 cases of historical Keshan disease in Yunnan Province in 2014, of which 229 were latent, 734 were slow, 240 were died and 297 were lost to follow-up. The mean age of patients with Keshan disease was 43.8 ± 16.2 years old. Among the 429 cases, 341 cases were diagnosed and diagnosed, of which 66.0% were chronic type and 34.0% were latent type. The highest prevalence of latent Keshan disease in age group of 3-14 years was 22.4% and that of chronic Keshan disease was 35-44 years The highest incidence of age group accounted for 29.8%; clinical symptoms of patients with electrocardiography in 365 cases, 231 cases of abnormal changes, the abnormal rate was 63.3%; 254 cases of X-ray film, the heart increased 150 cases, the abnormal detection rate of 59.1%; heart 127 cases were diagnosed by ultrasound and the rate of anomaly was 29.6%. Abnormal electrocardiogram changed with complete right bundle branch block and sinus bradycardia, accounting for 13.9% and 13.4% respectively. Conclusion At present, Keshan disease in Yunnan Province is stable and mainly chronic. It mainly harms young and middle-aged people. The focus of work should be placed on the treatment of chronic Keshan disease and the prevention of young people.