摘要
目的掌握应城市晚期血吸虫病(晚血)患者的基本情况,为做好晚血救治工作提供依据。方法收集应城市晚血患者临床资料,进行分析。结果截至2014年12月30日,该市共有晚血患者96例,其中男性68例(70.8%)、女性28例(29.2%),平均年龄64.2岁;晚血分型以腹水型为主(90.6%),巨脾型次之(5.2%),结肠增殖型、侏儒型各占2.1%。血吸虫病免疫学检测阳性者48例(50.0%),ELISA、IHA单项阳性者分别为8例(8.3%)和12例(12.5%),肝纤维化4项(HA、LN、CIV及PCⅢ)均正常者15例(15.6%)。结论应城市虽已达到传播控制标准,但部分晚血患者肝纤维化持续进展,因此救治措施和力度尚不能减弱,尤其是对腹水型患者的治疗及救助工作。
Objective To understand the clinical characteristics of patients with advanced schistosomiasis in Yingcheng City,so as to provide evidences for the assistance work of advanced schistosomiasis. Methods The clinical data of all the advanced schistosomiasis patients in Yingcheng City were collected and analyzed. Results Up to December 30,2014,there were 96 advanced schistosomiasis patients in Yingcheng City,among which,68 cases（70.8%）were male,28 cases（29.2%） were female,and their average age was 64.2 years. Most of the patients（90.6%）were ascitic type,followed by splenomegaly type（5.2%）,colon proliferation type（2.1%）,and dwarf type（2.1%）. Totally 48 cases（50.0%）were positive in immunological detections,among which 8 cases（8.3%）were positive in ELISA and 12 cases（12.5%）were positive in IHA. For all the 4 indexes of hepatic fibrosis（HA,LN,CIV and PCⅢ）,only 15 cases（15.6%）were normal. Conclusions Though Yingcheng City has reached the criteria of transmission control,the hepatic fibrosis of some patients continues to progress. Therefore,the intensity of the treatment and assistance could not be weakened,especially for those of the ascitic type patients.
出处
《中国血吸虫病防治杂志》
CAS
CSCD
北大核心
2016年第4期470-471,共2页
Chinese Journal of Schistosomiasis Control
关键词
晚期血吸虫病
临床特征
肝纤维化
腹水型
应城市
Advanced schistosomiasis
Clinical characteristic
Hepatic fibrosis
Ascitic type
Yingcheng City
