中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2013年
4期
436-438
,共3页
克山病%心电图描记术%X片%流行病学
剋山病%心電圖描記術%X片%流行病學
극산병%심전도묘기술%X편%류행병학
Keshan disease%Electrocardiography%X-ray%Epidemiology
目的 了解2010年河北省张家口市克山病病情及发展趋势,为下一步防治提供科学依据.方法 在张家口市的8个克山病病区县中选择5个县,每个病区县各选取1个病区村作为调查村.对调查点居民进行临床检查和心电图描记；对可疑克山病患者、可疑心脏增大者和心电图异常者拍摄胸部正位X线片,计算心胸比率.结果 共检查2519人,检出慢型克山病16例、潜在型克山病79例,检出率分别为0.64％(16/2519)、3.14％(79/2519).共描记心电图2519份,心电图异常268例,异常率为10.64％(268/2519);异常心电图以完全性右束支传导阻滞[占17.16％(46/268)]为主.共拍摄胸部正位X线片94例,检查出心脏增大者42例,检出率为44.68％(42/94).其中轻、中、重度分别为20、12、10例,构成比分别为47.62％(20/42)、28.57％(12/42)、23.81％(10/42).结论 张家口市克山病发病率较低,病情平稳.但仍应加强监测和综合防治策略.
目的 瞭解2010年河北省張傢口市剋山病病情及髮展趨勢,為下一步防治提供科學依據.方法 在張傢口市的8箇剋山病病區縣中選擇5箇縣,每箇病區縣各選取1箇病區村作為調查村.對調查點居民進行臨床檢查和心電圖描記；對可疑剋山病患者、可疑心髒增大者和心電圖異常者拍攝胸部正位X線片,計算心胸比率.結果 共檢查2519人,檢齣慢型剋山病16例、潛在型剋山病79例,檢齣率分彆為0.64％(16/2519)、3.14％(79/2519).共描記心電圖2519份,心電圖異常268例,異常率為10.64％(268/2519);異常心電圖以完全性右束支傳導阻滯[佔17.16％(46/268)]為主.共拍攝胸部正位X線片94例,檢查齣心髒增大者42例,檢齣率為44.68％(42/94).其中輕、中、重度分彆為20、12、10例,構成比分彆為47.62％(20/42)、28.57％(12/42)、23.81％(10/42).結論 張傢口市剋山病髮病率較低,病情平穩.但仍應加彊鑑測和綜閤防治策略.
목적 료해2010년하북성장가구시극산병병정급발전추세,위하일보방치제공과학의거.방법 재장가구시적8개극산병병구현중선택5개현,매개병구현각선취1개병구촌작위조사촌.대조사점거민진행림상검사화심전도묘기；대가의극산병환자、가의심장증대자화심전도이상자박섭흉부정위X선편,계산심흉비솔.결과 공검사2519인,검출만형극산병16례、잠재형극산병79례,검출솔분별위0.64％(16/2519)、3.14％(79/2519).공묘기심전도2519빈,심전도이상268례,이상솔위10.64％(268/2519);이상심전도이완전성우속지전도조체[점17.16％(46/268)]위주.공박섭흉부정위X선편94례,검사출심장증대자42례,검출솔위44.68％(42/94).기중경、중、중도분별위20、12、10례,구성비분별위47.62％(20/42)、28.57％(12/42)、23.81％(10/42).결론 장가구시극산병발병솔교저,병정평은.단잉응가강감측화종합방치책략.
Objective To study Keshan disease and its developmental trend in Zhangjiakou City in 2010 and to provide a scientific basis for further prevention of the disease.Methods From the eight diseased counties of Zhangjiakou City,five diseased countries were selected; in each diseased county a diseased village was selected as the clinical investigating point.Physical examination and Electrocardiography (ECG) tracings were carried out to suspicious patients with Keshan disease.Suspected heart enlargement,and ECG abnormalities were taken anteroposterior chest X-ray to measure the cardiothoracic ratio.Results A total of 2519 people were examined,16 cases were diagnosed as chronic Keshan disease,79 as latent Keshan disease,and the detection rate was 0.64％ (16/2519) and 3.14％(79/2519),respectively.Total of 2519 ECG tracings were taken,and electrocardiogram abnormalities were 268 cases,with a abnormal rate 10.64％,and most of them were complete right bundle branch block[accounted for 17.16％ (46/268)].Totally 94 cases of anteroposterior chest X-ray films were taken and 42 cases were cardiac enlargement,with a detection rate 44.68％.The numbers of mild,moderate and severe cases were 20,12 and 10,respectively,and the constituent ratio was 47.62％ (20/42),28.57％ (12/42),23.81％ (10/42),respectively.Conclusions The incidence of Keshan disease in Zhangjiakou City is relatively low,and the condition is stable.But monitoring and comprehensive prevention and control measure still should be strengthened.
