论文部分内容阅读
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%。
Objective To accurately grasp the status of advanced schistosomiasis (late blood), timely treatment of patients who have not yet cured late blood. Methods In 1997, a 10-year follow-up of the province’s late blood was carried out. The object is all those who have survived the establishment of a late blood registration card in 1987 and those who are suspected of having a new night blood. Diagnosis by national standards. Divided into 4 types of disease: splenomegaly, ascites, colon proliferation and Lin Confucianism. Divided into three categories: clinical cure, stable condition still need treatment. One by one to ask history, physical examination, for blood tests and B-ultrasound, and use computers to establish a night card. Results After the diagnosis of 12 365 cases of late blood, the prevalence of 0.10%. Among them, 63 cases of neonatal blood bank cards were newly built, and only 6 of them were diagnosed as having been diagnosed with schistosomiasis after repeated exposure to water-contaminated water in recent years. The others were all missed in 1987 and before. The majority of splenomegaly (91.9%) were asymptomatic, followed by ascites (6.7%), while the colon (0.8%) and dwarf (0.6%) were the most common less. Among the patients, 9 163 (74.1%) were clinically cured, 2 106 (17.0%) were stable and 1006 (8.9%) were yet to be treated. Need to be treated, the pathogen need to be treated 230 people, the remaining need to treat liver disease, prevention and treatment of bleeding, prevention and treatment of ascites. The number of non-late late bloody patients (including stable and still need treatment) decreased by 63.4% compared with 1987.