目的掌握洪雅县克山病病情,为克山病防治提供科学依据。方法按照克山病病情监测方案的要求,根据历史病情,选择心肌病发病较高的2个镇中的2个病村作为监测点,分层随机抽查,详细询问病史,体检,描记心电图,对疑似克山病例拍摄后前位X线胸片,按《克山病诊断标准》(GB17021-1997)诊断。检测监测点粮食及发硒含量。结果在病区14个医疗机构搜索心肌病病例259例,未发现克山病。2个监测点心电图描记859人,异常率22.70%(195例);拍摄X线胸片19例,检出慢型克山病2人,潜在型克山病1人,总检出率为0.35%。居民发硒范围0.11~0.55 mg/kg,均值0.40 mg/kg。粮食硒含量范围0.01~0.19mg/kg,均值为0.09mg/kg。结论四川省洪雅县克山病处于低发状态,但是粮食硒含量低,应进行针对性防治。 Objective To grasp the condition of Keshan disease in Hongya County and provide a scientific basis for the prevention and treatment of Keshan Disease. Methods According to the requirements of Keshan Disease Surveillance Program, 2 sick villages in 2 towns with high incidence of cardiomyopathy were selected as monitoring points according to historical conditions, and randomized in stages for detailed history, physical examination and electrocardiogram, Suspected cases of Keshan case after the first X-ray film, according to “Keshan disease diagnostic criteria” (GB17021-1997) diagnosis. Detection of food and seized monitoring point selenium content. Results A total of 259 cases of cardiomyopathy were searched in 14 medical institutions in the ward and no Keshan disease was found. There were 859 electrocardiogram tracings at 2 monitoring points, with an abnormality rate of 22.70% (195 cases); 19 cases of X-ray chest radiography, 2 cases of chronic Keshan disease and 1 case of latent Keshan disease, with a total detection rate of 0.35 %. Residents of selenium range 0.11 ~ 0.55 mg / kg, mean 0.40 mg / kg. Grain selenium content in the range of 0.01 ~ 0.19mg / kg, mean 0.09mg / kg. Conclusion Kakeama disease in Hongya County of Sichuan Province is in a low status, but the grain selenium content is low, and targeted prevention and treatment should be carried out.