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目的掌握荆门市晚期血吸虫病死亡原因,为科学管理与救治提供依据。方法调查2004以来荆门市死亡的晚期血吸虫病患者相关资料,并将死亡原因分为肝性脑病、上消化道出血、占位性病变、自发性腹膜炎、呼吸衰竭、自缢、术后并发症、夹杂症、其他疾病死亡九类进行统计分析。结果 158例死亡晚血患者平均存活时间2.36年,最长10年,最短1个月。查明原因的119名晚期血吸虫病患者主要死因依次为肝性脑病占42.86%,其他疾病占21.02%,上消化道出血占12.61%,夹杂症占11.76%。结论晚期血吸虫病患者比当地人群平均寿命低12年,其主要死因为肝性脑病、上消化道出血和其他夹杂证,晚期血吸虫病救治效果需进一步提高,同时要关心晚期血吸虫病患者的心理健康。
Objective To grasp the causes of death of advanced schistosomiasis in Jingmen City and provide the basis for scientific management and treatment. Methods The data of patients with advanced schistosomiasis who died in Jingmen City since 2004 were investigated and divided into hepatic encephalopathy, upper gastrointestinal bleeding, space occupying lesions, spontaneous peritonitis, respiratory failure, self-obstruction, postoperative complications, inclusion Disease, nine other types of death disease statistical analysis. Results The average survival time of 158 cases with late death was 2.36 years, the longest was 10 years and the shortest was 1 month. The main causes of death of 119 patients with advanced schistosomiasis were 42.86% for hepatic encephalopathy, 21.02% for other diseases, 12.61% for upper gastrointestinal bleeding and 11.76% for inclusion. Conclusion The average life span of patients with advanced schistosomiasis is 12 years lower than that of the local population. The main causes of death are schizophrenia, upper gastrointestinal bleeding and other entrapment syndromes. The treatment efficacy of advanced schistosomiasis needs to be further improved. At the same time, the mental health of patients with advanced schistosomiasis .