目的掌握山西省克山病病情,评估克山病控制和消除现况。方法选择吉县、永和、石楼、交口为调查县,开展全县范围的克山病病例搜索,再在每县选择2个病区乡,每乡选择一个病区村为调查点开展重点调查,每村选择400人左右,开展临床查体和心电图描记;对疑似克山病患者拍摄心脏后前位2米X光胸片并进行心脏彩色超声检查。结果病例搜索未发现克山病病例。共检查3538人,检出克山病80例,总检出率22.61‰。其中慢型克山病11例,检出率3.11‰,患病率0.12‰;潜在型克山病69例,检出率和患病率均为19.50‰。检出异常心电图319例,异常率9.02%。克山病人心电图异常改变以完全性右束枝传导阻滞和ST-T改变为主,分别占到总异常项次的37.04%和12.96%。克山病病例男女性别比为1:0.74。调查期间无新发急型、亚急型克山病病人。结论以县为单位,石楼、永和、交口实现控制目标;吉县未实现控制目标。 Objective To understand the condition of Keshan disease in Shanxi Province and evaluate the control and elimination of Keshan disease. Methods Select Jixian, Yonghe, Shilou, Jiaokou for the investigation of the county to carry out the county-wide Keshan disease case search, and then select 2 ward counties in each county, each township choose a ward village as the investigation point to carry out key investigations , Each village about 400 people choose to carry out clinical examination and electrocardiogram tracings; the suspected Keshan patients after taking the heart 2 meters before the chest X-ray and heart color ultrasound. Results Keshan disease was not found in the case search. A total of 3538 people were examined, Keshan disease detected 80 cases, the total detection rate of 22.61 ‰. 11 cases of chronic Keshan disease, the detection rate was 3.11 ‰, the prevalence was 0.12 ‰; potential Keshan disease in 69 cases, the detection rate and prevalence were 19.50 ‰. Abnormal electrocardiogram was detected in 319 cases, with an abnormal rate of 9.02%. Keshan patients ECG abnormal changes with complete right bundle branch block and ST-T changes, accounting for 37.04% and 12.96% of the total abnormal line. Keshan disease cases male to female ratio was 1: 0.74. During the investigation no new emergency type, subacute KK disease patients. Conclusion The county as a unit, Shilou, Yonghe, intersection to achieve control objectives; Ji County did not achieve the control objectives.