楚雄州克山病临床流行病学特点的演变及分析

Change and Analysis on the Clinical and Epidemiological Characters of Keshan Disease in Chuxiong Prefecture

本文对云南克山病防治研究所２０年间住院治疗的１８３６例慢型克山病（简称慢克）和亚急型克山病（简称亚急克）进行了临床流行病学分析。结果表明：楚雄州克山病发病趋势呈持续大幅度下降，小儿亚急克显著减少，成人慢克增加，青年男性发病优势，四季散发，临床表现也有一定演变；而地区分布特点无变化。成人克山病增加的原因主要是儿童克山病延续至成人的结果。

The clinical and epidemiological data was studied, which was obtained from hospitalized cases with subacute and chronic Keshan disease during 20 years. The result showed : The incidence of Keshan dis-ease was drop successively in Chuxiong prefecture. Subacute Keshan in childhood were declined significantly. Adult chronic Keshan were increased. Adult man patient were more than female patients. The time of attack was scattered in four season of a year. The great majority of the adult patient came from previous severe en-demic areas. These adult patients were developed from Keshan patients in Childhood.