2014年云南省克山病现症患者病情调查  

Investigation on patients with Keshan disease in Yunnan in 2014

作　　者：李淑娟 李兆祥 王安伟 黄文丽 

机构地区：[1]云南省地方病防治研究所,云南大理671000

出　　处：《疾病预防控制通报》2015年第4期12-14,共3页Bulletin of Disease Control & Prevention(China)

摘　　要：目的 掌握2014年云南省克山病病例转归与现症患者的病情分布情况。方法 以2012年云南省克山病报表为基础随访在册病例,对现症患者临床检查,并根据《克山病诊断》WS/T 210-2011标准核实原有诊断。结果 2014年云南省存在历史克山病病例资料963例,其中潜在型229例、慢型734例,死亡240例,失访297例;克山病患者平均年龄（43.8±16.2）岁;现症病例429例,复核确诊341例,其中慢型占66.0%、潜在型占34.0%;潜在型克山病3~14岁年龄组患病比例最高占22.4%,慢型克山病35~44岁年龄组患病比例最高占29.8%;现症患者临床心电图检查365例,异常改变231例,异常率为63.3%;拍摄X片254例,心脏增大150例,异常检出率59.1%;心脏超声检查127例,异常检出率为29.6%;异常心电图改变以完全性右束支传导阻滞、窦性心动过缓为主,分别占13.9%和13.4%。结论 目前云南省克山病病情稳定,以慢型为主,主要危害青壮年人群,工作重心应放在对慢型克山病的治疗与青年人群的预防方面。Objective To master outcome and situation distribution of cases with Keshan disease in Yunnan Province in 2014. Methods The registered cases were followed up according to the report on Keshan disease in Yunnan, 2012. The present patients were performed physical examination and confirmed the original diagnosis according to Keshan Disease Diagnosis （WS/T 210-2011）. Results There were 963 historical cases with Keshan disease in Yunnan in 2014, including 229 of the latent and 734 of the chronic. Out of them, there were 240 cases of death and 297 cases lost, with the average age of patients of 43.8：k 16.2 year-old. Among the 429 present cases, 341 cases were reviewed and confirmed diagnosis, including 34.0% of the latent and 66.0% of the chronic. The highest proportion was in 3-14 age group （22.4%） of the latent cases and in the 35-44 age group （29.8%） of the chronic cases. Three hundred and sixty-five present patients took clinical ECG examination, and 231 cases showed abnormalities, with abnormal rate of 63.3%. Two hundred and fifty-four patients were performed X-ray examination, there were 150 cases appearing cardiac enlargement, with detection rate of 59.1%. One hundred and twenty-seven cases accepted echocardiography with abnormal rate of 29.6%. ECG changes were mainly complete right bun- dle branch block and sinus bradycardia, accounted for 13.9% and 13.4%, respectively. Conclusions Presently, the situation of Keshan disease is stable in Yunnan Province, with the main clinical types of chronic cases. It is hazardous to young people. The key to the disease prevention should be focused on youth population and therapy of chronic cases.

关 键 词：克山病 潜在型 慢型 病情调查 

分 类 号：R542.3[医药卫生—心血管疾病] R181.81[医药卫生—内科学]