国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2010年
5期
319-321
,共3页
高杨%黄文丽%施国庆%张健%陆步来%申涛%赵溯%马琳%王跃兵%李兆祥%杨林%曾光
高楊%黃文麗%施國慶%張健%陸步來%申濤%趙溯%馬琳%王躍兵%李兆祥%楊林%曾光
고양%황문려%시국경%장건%륙보래%신도%조소%마림%왕약병%리조상%양림%증광
猝死%流行病学%临床特征
猝死%流行病學%臨床特徵
졸사%류행병학%림상특정
Death,sudden%Epidemiology%Clinical feature
目的 描述2009年云南不明原因猝死(YSUD)的流行病学和临床特点.方法 采用统一调查表,调查猝死病例的家庭成员、见证人和诊治医生,查阅诊治记录,收集猝死病例流行病学和临床信息.结果 2009年云南省5个县的5个自然村报告7起YSUD事件,共22人受罹,其中猝死16例(72.73%),同发病例6例(27.27%).16例猝死病例分布于7个家庭,家庭聚集性猝死病例14例,占87.50%(14/16).15例(93.75%)发生于既往无YSUD事件报告的村庄.猝死病例分布于7月5例(31.25%),8月11例(68.75%);男性8例,女性8例;中位年龄31岁(10～67岁),其中20～39岁年龄组10例,占62.50%.猝死者死亡中位时间为5 min(3～115 min).5例猝死者死前无任何临床表现,其中倒地而亡3例和睡眠时死亡2例;10例死亡前表现为口唇发绀、胸痛、头晕、心悸、面色苍白、头痛、抽搐、晕厥等,均无发热症状.结论 2009年YSUD事件中,除1例外均发生在过去无猝死报告的村庄,发生季节、聚集性及临床特点与以往YSUD事件情况基本一致.
目的 描述2009年雲南不明原因猝死(YSUD)的流行病學和臨床特點.方法 採用統一調查錶,調查猝死病例的傢庭成員、見證人和診治醫生,查閱診治記錄,收集猝死病例流行病學和臨床信息.結果 2009年雲南省5箇縣的5箇自然村報告7起YSUD事件,共22人受罹,其中猝死16例(72.73%),同髮病例6例(27.27%).16例猝死病例分佈于7箇傢庭,傢庭聚集性猝死病例14例,佔87.50%(14/16).15例(93.75%)髮生于既往無YSUD事件報告的村莊.猝死病例分佈于7月5例(31.25%),8月11例(68.75%);男性8例,女性8例;中位年齡31歲(10～67歲),其中20～39歲年齡組10例,佔62.50%.猝死者死亡中位時間為5 min(3～115 min).5例猝死者死前無任何臨床錶現,其中倒地而亡3例和睡眠時死亡2例;10例死亡前錶現為口脣髮紺、胸痛、頭暈、心悸、麵色蒼白、頭痛、抽搐、暈厥等,均無髮熱癥狀.結論 2009年YSUD事件中,除1例外均髮生在過去無猝死報告的村莊,髮生季節、聚集性及臨床特點與以往YSUD事件情況基本一緻.
목적 묘술2009년운남불명원인졸사(YSUD)적류행병학화림상특점.방법 채용통일조사표,조사졸사병례적가정성원、견증인화진치의생,사열진치기록,수집졸사병례류행병학화림상신식.결과 2009년운남성5개현적5개자연촌보고7기YSUD사건,공22인수리,기중졸사16례(72.73%),동발병례6례(27.27%).16례졸사병례분포우7개가정,가정취집성졸사병례14례,점87.50%(14/16).15례(93.75%)발생우기왕무YSUD사건보고적촌장.졸사병례분포우7월5례(31.25%),8월11례(68.75%);남성8례,녀성8례;중위년령31세(10～67세),기중20～39세년령조10례,점62.50%.졸사자사망중위시간위5 min(3～115 min).5례졸사자사전무임하림상표현,기중도지이망3례화수면시사망2례;10례사망전표현위구진발감、흉통、두훈、심계、면색창백、두통、추휵、훈궐등,균무발열증상.결론 2009년YSUD사건중,제1예외균발생재과거무졸사보고적촌장,발생계절、취집성급림상특점여이왕YSUD사건정황기본일치.
Objective To describe the epidemiological and clinical features of Yunnan sudden unexplained death (YSUD) incident in 2009. Methods Using the standard questionnaire, the family members of the cases, witnesses and doctors were interviewed, the medical files and clinical information of YSUD cases were collected. Results 16 sudden unexplained death (YSUD) cases (72.73%) and 6 ill cases (27.27%) were reported in 7 YSUD incidents in 5 villages of 5 counties in Yunnan province. 15 cases (94%) were reported at villages where no YSUD cases reported before. 16 SUDcases occurred in 7 families and 87.5%(14/16) of cases were family clustering cases. 5(31.25%) and 11 (68.75%) of the SUD occurred in July and August respectively. 8 were male and 8 were female. The median of cases'age was 31 (10-67), and 10 cases(62.50%) were 20-39 years old. The median duration from acute onset to death was 5 minutes(3-115 min). No complaints or signs of 5 cases was observed before death, 3 of them were falling to death and the other two died during sleeping. The acute onset symptom of 10 cases were observed mainly a s cyanosis, chest pain,dizzy, pain facial expression, palpitations, pale face, headache, spasm, syncope, and urinary incontinence(20%).Conclmions All the YSUD affected villages but one in 2009 are reported for the first time. The high-occurrence season,clustering of distribution and clinical features of YSUD in 2009 are observed mainly in accordance with the YSUD in the past.
