摘要
目的准确掌握晚期血吸虫病（晚血）的现状，及时治疗尚未治愈的晚血病人。方法于１９９７年开展了全省晚血１０年随访。对象为１９８７年建立晚血登记卡而目前存活的全部人员以及“疑似新晚血”者。诊断按国家标准。病型分４型：巨脾型、腹水型、结肠增殖型和林儒型。病情分３类：临床治愈、病情稳定和尚需治疗。逐个询问病史、体格检查、作有关血液检查及Ｂ超检查，并用计算机建立晚血卡。结果经检查确诊晚血１２ ３６５例，患病率０．１０％。其中，新建晚血卡６３例，内仅６人为近年反复接触疫水感染血吸虫至就诊时已达晚血诊断标准，其余均为１９８７年及以前漏检者。病型中，巨脾型占绝大多数（９１．９％）；腹水型次之（６．７％）；而结肠增殖型（０．８％）和侏儒型（０．６％）已很少。病情中，临床治愈９ １６３例（７４．１％）；病情稳定２ １０６例（１７．０％）；尚需治疗１００６例（８．９％）。尚需治疗者中，需病原治疗者２３０人，其余需护肝治疗、防治出血、防治腹水等。未愈晚血病人（包括病情稳定和尚需治疗）与１９８７年相比减少了６３．４％。
Objectives To know well the status of advanced schistosomiasis japonica in Jiangsu Province and treat the patients. Methods A ten-year follow-up for advanced schistosonmiasis was carried cut in the whole province in 1997. Targets were patients who had been diagnosed with advanced schistosomiasis in 1987 and people who were supposed with advanced schistosomiasis now. Physical examination, laboratory tests and ultrasound technology were used. Results 12 365 persons were diagnosed. Prevalence rate was 0.10%. Only 6 patients were new patients with ad vanced schistosomiasis in recent years. Most of patients were splenomegaly (91.9%), ascites type was 6.7%. the type of multiple granuloma in the colon 0.8% and dwarf type 0.6%. 9163 cases (74.1%) were clinically cured, 2106 (17.0%) clinically stable and 1096 (8. 9%) unstable. Among the unstable cases, 239 cases needed treatment with antischistosomal drugs, others needed symptom treatment. Comparing with the status in 1987, the cases who were not clinically cured much decreased.
出处
《中国血吸虫病防治杂志》
CAS
CSCD
2000年第3期129-133,共5页
Chinese Journal of Schistosomiasis Control
关键词
晚期血吸虫病
病情分类
随访
流行病学
Advanced schistosomiasis, Clinical manifestation, Follow-up
