1998-2008年嘉兴市晚期血吸虫病患者死亡原因分析

Causes of death of advanced schistosomiasis patients in Jiaxing City from 1998 to 2008

目的对1998-2008年嘉兴市晚期血吸虫病人流行病学及死亡原因进行调查,为进一步改善晚期血吸虫病临床诊治提供参考依据。方法收集1998-04-2008-03本院登记在册的晚期血吸虫病人档案,结合随访情况,了解其死亡原因及流行病学特征,分析近10年来嘉兴市晚期血吸虫病患者死亡特征。结果 1998-04-2008-03本院登记晚血患者共2004例,死亡202例。死亡年龄主要集中在60～70岁和70～80岁年龄组,分别占总死亡病例数的39.60%和34.65%;死亡时间主要集中在1998年,共65例,占32.18%。死于上消化道出血患者69例,占34.16%;死于肝性脑病45例,占22.84%。结论近10年嘉兴市晚期血吸虫病人的主要死亡原因是上消化道出血和肝性脑病。

Objective To understand the causes of death of advanced schistosomiasis patients in Jiaxing City from 1998 to 2008, so as to provide the evidence for improving the diagnosis and treatment of advanced schistosomiasis patients. Methods The data of advance schistosomiasis inpatients from April 1998 to March 2008 were collected, analyzed and combined with the following up to understand the epidemic characteristics and the causes of death of advance schistosomiasis patients. Results There were 2 004 of advanced schistosomiasis inpatients and 202 patients died. Among the 202 cases, 39.60% of patients were 60-70 years old and 34.65% 70-80 years old. The death causes included upper gastrointestinal hemorrhage （69 cases, 34.16%）, hepatic encephalopathy （45 cases, 22.84%）, and others. Conclusion The upper gastrointestinal hemorrhage and hepatic encephalopathy were the main causes of death of advanced schistosomiasis patients in Jiaxing City during the past 10 years.