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目的分析当前克山病病情及流行特点。方法病例分析。结果统计分析2007~2012年5年间在门诊就医的106例慢型克山病(下称慢克)的病情,占门诊就医量的1.13%,以2009年慢克病情最重,占当年门诊量的1.40%。慢克男43人,女63人,心功能II级占25.5%,III级占46.2%,IV级占28.3%;年龄最小的自然慢克为13岁,病程1年,年龄最大的为42岁。共有37例病情重的慢克住院治疗,临床治愈33例,死亡4例。结论与历史相比,呼伦贝尔盟克山病病情已明显减轻,慢克病人的存活期明显延长;但是,在病区每年都有新发的潜、慢克患者,并在局部地区有自然慢克多发的现象,而且,患病的形式更加隐匿,临床表现也不典型,所以,今后应努力提高克山病的正确诊断率,防止漏诊、误诊。加强对局部自然慢克好发区病情的剖析和监测。
Objective To analyze the current situation and epidemic characteristics of Keshan disease. Methods Case analysis. Results Statistical analysis of 106 cases of chronic Keshan disease (referred to as slow grams) for outpatient treatment during the five years from 2007 to 2012 accounted for 1.13% of the total amount of out-patient medical care. In 2009, the condition of chronic disease was the highest, accounting for the outpatient amount Of 1.40%. 43 males and 63 females, heart function II class accounted for 25.5%, III class accounted for 46.2%, IV class accounted for 28.3%; the youngest natural chronic gram was 13 years old, the duration of 1 year, the oldest was 42 years old . A total of 37 cases of severe chronic illness hospitalized in 33 cases of clinical cure, 4 patients died. Conclusions Compared with the history, the condition of Hulun Buir-Kunming Keshan disease has been significantly reduced, and the survival time of patients with chronic Crohn’s disease significantly prolonged. However, in the ward every year there are new-onset sub-chronic and chronic g In addition, the morbid form is more hidden and the clinical manifestations are not typical. Therefore, in the future, it is necessary to make every effort to improve the correct diagnosis rate of Keshan disease so as to prevent misdiagnosis and misdiagnosis. Strengthen the analysis and monitoring of the condition of local natural slow-onset areas.