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目的掌握黑龙江省克山病病情和防控措施落实情况,为今后克山病的防治提供科学依据。方法监测2011-2016年黑龙江省32个县(市)级医疗机构及其所管辖病区乡卫生院、村级卫生室心肌病患者的就诊病例,通过对其病史、体征与临床症状、心脏超声与心电图、X线胸片和流行病学资料的收集,筛选出可疑病例。结果黑龙江省共搜索801个医疗单位,3 051例心肌病病例,其中疑似克山病271例,确诊克山病143例。结论 143例病人均为慢型克山病,无新发病例。黑龙江省克山病病情已经处于控制后的稳定阶段,但该病依然是应该高度重视的公共卫生问题,还应继续加强对克山病的防控监测工作。
Objective To master the implementation of Keshan disease and prevention and control measures in Heilongjiang province and provide scientific basis for the prevention and treatment of Keshan disease in the future. Methods The cases of cardiomyopathy in 32 county (city) -level medical institutions in Heilongjiang province and township health centers and village clinics in 2011-2016 were monitored. Their medical history, signs and clinical symptoms, And ECG, chest X-ray and epidemiological data collection, screening out suspicious cases. Results A total of 801 medical units and 3 051 cases of cardiomyopathy were searched in Heilongjiang Province, including 271 suspected Keshan disease and 143 confirmed Keshan disease. Conclusion All 143 patients were chronic Keshan disease, with no new cases. Keshan disease in Heilongjiang Province has been in a stable stage after the control, but the disease is still a public health issue that should be attached great importance to, and should continue to strengthen the prevention and control of Keshan disease surveillance.