摘要
目的调查云南省地方性猝死(YunnanEndemicSuddenDeath,YESD)的死亡性质,为有效地防治提供依据。方法访问患者家属及医务人员,调查死者发病与死亡经过。对患者家属及对照人群作全面查体、心电图、X线检查。以发现各村、屯的现有病人,为分析与确定死亡原因提供重要依据。结果调查的163例病区居民,查出各型克山病16例:轻症急型2例、慢型2例、潜在型12例。8例死者从临床表现和流行病特点符合克山病急性泵或电衰竭(严重或恶性心律紊乱)致死,故诊断为克山病。结论死亡8例地方性猝死病人的临床性质,为急型克山病急性心衰死亡(1例是慢型克山病,因心源性休克急型发作致死)。贯彻对克山病行之有效的综合防治措施,做到早期发现及时报告、早诊断、早治疗,云南“地方性猝死”是完全可防可治的。
Objective To provide evidence for effectively preventing and treating Yunnan Endemic Sudden death(YESD) by investigation of the cases of YESD. Methods Reviewing the original dada/information of the YESD case by questionnaire survey, their relatives and medical staff, examination of the survived case,taking ECG, chest X-ray film for the survived cases and controls. The important evidence of the nature of the death was taken from the survived cases of YESD. Results 163 people were surveyed and 16 cases of Keshan disease were found (2 cases of acute type of KD, 2 cases of chronic type of KD and one of them was having complication of acute type of KD, 12 cases latent type of KD). The clinical and epidemiological manifestations of the 8 dead cases of YESE were consistent in the acute heart pump or electrical failure-vicious arrhythmia of KD so the 8 cases are diagnosed as KD. Conclusions The clinical nature of 8 dead cases of YESD is acute KD dying of acute heart failure, and one of them was chronic KD(acute died). At last, it is possible to prevent and treat YESD if early report, diagnosis and treatment are taken.
出处
《中国地方病学杂志》
CAS
CSCD
北大核心
2004年第5期482-485,共4页
Chinese Jouranl of Endemiology
基金
卫生部疾控司委托课题(2004)
