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本文对133例亚急型克山病8～17年预后进行了跟踪观察,对预后因素进行了分析,结果是;1.儿童亚急型2年、5年、10年及15年累积病死率分别为14.2%、20.9%、24.9及29.9%,主要死亡原因是转为慢型死于难治性心力衰竭;2.发病时年龄6岁以上,有个人史,一周后就诊,三月后病情有反复;就诊时有肺湿鸣,心衰(F)与休克(S)和/或心律失常(A)并存,奔马律持续1月以上;心电图上心室增大、病理性 Q 波等持续存在或新出现;X 线上心脏中度以上扩大者,其转慢死亡率高(P<0.05或0.01)。
In this paper, 133 cases of subacute Keshan disease 8 to 17 years follow-up observation of prognosis, the prognostic factors were analyzed, the results are; 1. Child subacute type 2 years, 5 years, 10 years and 15 years cumulative mortality Respectively, 14.2%, 20.9%, 24.9 and 29.9%, respectively. The main cause of death was death due to chronic death due to refractory heart failure. 2. At the time of onset, patients aged 6 years and over had a personal history, There was a recurrence; pulmonary dampness at presentation, heart failure (F) and shock (S) and / or arrhythmia (A) coexisted, Benma continued for more than 1 month; electrocardiogram ventricular enlargement, pathological Q wave continued Presence or new occurrence; X-ray enlargement of the heart above the moderate, slow turn slow rate (P <0.05 or 0.01).