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目的了解兴化市晚期血吸虫病(晚血)患者现况,为科学管理、政府救助提供依据。方法按照国家标准对兴化市2008~2013年在册及新增晚血患者逐例进行流行病学调查和医学检查。按国家卫生部疾病控制司《血吸虫病防治手册》标准将患者分为巨脾型、腹水型、结肠增殖型和侏儒型4型。结果兴化市2008~2013年在册晚血患者为73例,其中巨脾型62例,腹水型10例,结肠肉芽肿1例。死亡7例,其中3例正常死亡,占42.86%,肝癌死亡2例,占28.57%,肝硬化死亡2例,占28.57%。现存66例晚血患者全部都是巨脾型。其中临床治愈者57例,占86.36%,病情稳定者7例,占10.61%,尚需治疗者2例,占3.03%。年龄最小44岁,最大87岁,平均年龄68.53岁,年龄构成以71~80岁组人数最多,占42.42%。来自血吸虫病流行乡4例,占6.06%,非血吸虫病流行乡62例,占93.94%。结论兴化市晚血患者情基本稳定,年龄呈高龄化趋势,为能减轻患者症状,提高生存质量,应定期随访和健康检查,对反复、症状较重的晚血患者,采用多学科综合治疗,同时为需要救助的晚血患者提供国家救助。
Objective To understand the status of patients with advanced schistosomiasis (late blood) in Xinghua City and provide the basis for scientific management and government assistance. Methods According to national standards, epidemiological investigations and medical examinations were carried out on a case-by-case basis in Xinghua City from 2008 to 2013 and newly added patients with late blood. Patients were divided into spleen type, ascites type, colon proliferation type and dwarf type 4 according to the “Handbook of Prevention and Treatment of Schistosomiasis” by the Disease Control Division of the Ministry of Health. Results There were 73 patients with late bloody albumin in Xinghua from 2008 to 2013, including 62 cases of splenomegaly, 10 cases of ascites and 1 case of colon granuloma. Of the 7 deaths, 3 were normal, accounting for 42.86%, 2 were liver cancer, accounting for 28.57%, and 2 were cirrhosis (28.57%). The remaining 66 patients with late blood are splenomegaly. Including clinical cure in 57 cases, accounting for 86.36%, stable condition in 7 cases, accounting for 10.61%, still need treatment in 2 cases, accounting for 3.03%. The youngest 44 years old, the oldest 87 years old, the average age of 68.53 years of age, the age group of 71 to 80 years old the largest number, accounting for 42.42%. Four cases of schistosomiasis endemicity, accounting for 6.06%, 62 cases of non-schistosomiasis endemic, accounting for 93.94%. Conclusion The situation of patients with late-stage blood in Xinghua City is basically stable and the age is aging. In order to reduce the symptoms and improve the quality of life, regular follow-up and medical examination should be carried out. For patients with recurrent and severe symptoms of late blood, multi-disciplinary treatment , At the same time for the assistance of patients with late blood to provide state assistance.