黑龙江省2013年克山病疫情分析

Analysis of epidemic of Keshan disease in Heilongjiang province,2013

目的掌握调查点克山病疫情和防控措施落实现状,为"十二五"期间消除克山病考核验收工作积累数据和资料。方法调查2008-2012年黑龙江省县级医疗机构及其所辖病区乡卫生院、村卫生室就诊的全部心肌病患者信息。根据患者的病史、临床症状和体征、心电图、心脏超声及X线胸片和流行病学资料,筛选出疑似克山病病例。结果黑龙江省共搜索845个医疗单位,1 727例心肌疾病病例,疑似克山病118例。经专家组确诊克山病41例。结论黑龙江省克山病病情已经处于稳定阶段,41例病人均为慢型克山病,其中原有病例21人,新发病例20人,今后还应继续加强克山病的防控工作。

Objective To master epidemic of Keshan disease and implementation of its prevention and control measures at survey points in Heilongjiang province,accumulate data and information for assessment of elimination of Keshan disease in ＂Twelfth Five-year Plan＂ period. Methods All the information of cardiomyopathy patients visited medical institutions at county level, rural health centers and village clinic were surveyed during 2008-2012. Based on the patient＇s medical history, clinical symptoms and signs, ECG, echocardiogram and chest X-ray examination and the results of epidemiological data, the suspected cases of Keshan disease were screened. Results 118 suspected cases of Keshan disease were found among 1727 cases of suspected cases of myocardial disease from 845 medical units and 41 cases of Keshan disease were final diagnosed by expert group. Conclusion The epidemic of Keshan disease in Heilongjiang province has been in a stable stage, 41 patients were chronic Keshan disease, 21 of which were original cases and 20 were new cases. It is necessary to strengthen the prevention and control work for Keshan disease in future.