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目的掌握应城市晚期血吸虫病(晚血)患者的基本情况,为做好晚血救治工作提供依据。方法收集应城市晚血患者临床资料,进行分析。结果截至2014年12月30日,该市共有晚血患者96例,其中男性68例(70.8%)、女性28例(29.2%),平均年龄64.2岁;晚血分型以腹水型为主(90.6%),巨脾型次之(5.2%),结肠增殖型、侏儒型各占2.1%。血吸虫病免疫学检测阳性者48例(50.0%),ELISA、IHA单项阳性者分别为8例(8.3%)和12例(12.5%),肝纤维化4项(HA、LN、CIV及PCⅢ)均正常者15例(15.6%)。结论应城市虽已达到传播控制标准,但部分晚血患者肝纤维化持续进展,因此救治措施和力度尚不能减弱,尤其是对腹水型患者的治疗及救助工作。
Objective To master the basic situation of patients with advanced schistosomiasis (late blood) in the city and provide basis for the treatment of late blood. Methods The clinical data of patients with late blood in Yingcheng should be collected and analyzed. Results As of December 30, 2014, there were 96 patients with late blood in the city, including 68 males (70.8%) and 28 females (29.2%), with an average age of 64.2 years. The late blood typing was mainly based on ascites 90.6%), followed by splenomegaly (5.2%), colon proliferation and dwarfism accounted for 2.1%. There were 48 cases (50.0%) with immunological test of schistosomiasis, 8 cases (8.3%) and 12 cases (12.5%) with ELISA and IHA, 4 cases of liver fibrosis (HA, LN, CIV and PCⅢ) 15 cases were normal (15.6%). Conclusion Although Yingcheng has reached the standard of transmission control, some patients with late-onset liver fibrosis continue to progress. Therefore, the treatment measures and efforts should not be weakened, especially for the treatment and relief of ascites patients.