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目的寻求云南省地方性猝死早期发现的方法。方法以现场流行病学调查及临床医学检查,调查25例死者的发病与死亡经过并确定死因;对高危人群106人及对照人群214人进行查体、心电图、X线检查,以确定各调查点的现患。结果共确诊死者及现患52人,其流行病特点、临床表现、心电图、X线检查结果均具有显著共性;运用症状监测方法,出现头晕、胸闷、气短、心悸、乏力、恶心呕吐等心功不全症候群以及抽搐、晕厥等心脑综合征者应列为监测对象。结论根据该病的流行病学及临床特点,以症状监测为核心的综合监测方法可以在该病的早期发现中加以运用。
Objective To find out the method of early detection of endemic sudden death in Yunnan province. Methods Epidemiological investigation and clinical examination were conducted to investigate the incidence and death of 25 deceased persons and to determine the cause of death. 106 high risk groups and 214 control subjects were examined by physical examination, electrocardiogram and X-ray, Now suffering. Results A total of 52 patients were diagnosed as dead and affected. The epidemiological characteristics, clinical manifestations, electrocardiogram and X-ray examination showed significant common features. Symptom monitoring showed dizziness, chest tightness, shortness of breath, palpitations, fatigue, nausea and vomiting Incomplete syndrome and convulsions, syncope and other cardiocerebral syndrome should be listed as monitoring object. Conclusion Based on the epidemiological and clinical features of the disease, comprehensive surveillance with symptomatic surveillance as the core can be used in the early detection of the disease.