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目的对2005年7月15～18日在禄丰县碧城镇和仁兴镇发生的8例不明原因猝死病例进行分析,总结云南不明原因心源性猝死的临床特点和流行病学规律,探讨其预防和救治方案。方法查看猝死病例的病历,以及对猝死病例进行回顾调查,选择1:5的猝死病例与健康对照进行调查和研究,同时采集相关标本进行检测;对各项指标进行分析。结果其中1例死亡病人经过多次反复晕厥,在镇卫生院救治后转至昆明市某儿童医院治疗无效死亡,其母在昆明市某儿童医院看护病儿时突然发生晕厥,立即转院到昆明市另一医院,经抢救无效死亡,其他6例死亡病人均在短时间内突然晕倒而死亡,无抢救余地。结论经过对8例死亡病人的流行病学和临床特点等综合分析,本次疫情符合“云南不明原因心源性猝死”的诊断。
Objective To analyze 8 cases of unexplained sudden death in Bi Town and Renxing Town, Lufeng County from July 15 to July 2005, and summarize the clinical features and epidemiological rules of sudden cardiac death of unknown cause in Yunnan Province, Treatment program. Methods The cases of sudden death were reviewed and the cases of sudden death were retrospectively reviewed. The cases of sudden death of 1: 5 were selected for investigation and research. At the same time, relevant specimens were collected for detection. The indicators were analyzed. Results One of the death patients after repeated fainting, after treatment in the town hospital to Kunming a children’s hospital died, his mother in a child’s hospital in Kunming, a child suddenly fainted, and immediately transferred to Kunming Another hospital, died of rescue invalid, the other 6 deaths were suddenly fainted in a short time and died, there is no room for rescue. Conclusions After a comprehensive analysis of the epidemiological and clinical features of 8 death patients, the epidemic was in line with the diagnosis of sudden cardiac death of unexplained origin in Yunnan.