荆门市晚期血吸虫病死亡患者分析

Investigation of dead schistosomiasis patients at advanced stage in Jingmen city

目的掌握荆门市晚期血吸虫病死亡原因,为科学管理与救治提供依据。方法调查2004以来荆门市死亡的晚期血吸虫病患者相关资料,并将死亡原因分为肝性脑病、上消化道出血、占位性病变、自发性腹膜炎、呼吸衰竭、自缢、术后并发症、夹杂症、其他疾病死亡九类进行统计分析。结果 158例死亡晚血患者平均存活时间2.36年,最长10年,最短1个月。查明原因的119名晚期血吸虫病患者主要死因依次为肝性脑病占42.86%,其他疾病占21.02%,上消化道出血占12.61%,夹杂症占11.76%。结论晚期血吸虫病患者比当地人群平均寿命低12年,其主要死因为肝性脑病、上消化道出血和其他夹杂证,晚期血吸虫病救治效果需进一步提高,同时要关心晚期血吸虫病患者的心理健康。

Objective To understand the death causes of schistosomiasis patients at advanced stage in Jingmen city,andto provide a basis for scientific management and treatment of the patients. Methods The data of dead schistosomiasispatients at advanced stage in Jingmen since 2004 were investigated, the death causes of the patients were classified ashepatic encephalopathy,gastrointestinal bleeding,lesions,spontaneous bacterial peritonitis,respiratory failure, hanging, post-operative complications accompanied diseases, and other diseases and statistically analyzed. Results The average survivaltime of the 158 patients was 2.36 years,with the longest of 10 years and the shortest of 1 months. The leading death causes ofthe 119 cases with confirmed death reasons from high to low were hepatic encephalopathy（42.86%）, other diseases（21.02%）,hemorrhage of upper digestive tract（12.61%） and accompanied diseases（11.76%）. Conclusion The average life expectancyof schistosomiasis patients at advanced stage was 12 years shorter than the local people, the main death causes were hepaticencephalopathy,gastrointestinal bleeding and other diseases, thus the efficacy in treatment of schistosomiasis patients atadvanced stage be improved and special attention be paid to the mental health of schistosomiasis patients at advanced stage.