| 黄文丽,李兆祥,杨林,赵溯,马琳,王跃兵,施国庆,张健,吴新华,杨兰萍,马永康,董兴,齐曾光.云南省2002—2004年不明原因心源性猝死事件流行病学和临床特征分析[J].Chinese journal of Epidemiology,2007,28(3):233-236 |
| 云南省2002—2004年不明原因心源性猝死事件流行病学和临床特征分析 |
| Investigation and analysis on the incidence of“Yunnan unknown-cause sudden cardiac death”during2002-2004 |
| Received:August 24, 2006 Revised:August 24, 2006 |
| DOI： |
| KeyWord: 心源性猝死 流行病学 临床特征 |
| English Key Word: Cause sudden cardiac death Epidemiology Clinical characteristics |
FundProject:1.卫生部科学研究基金资助项目(wKJ 2003 0l 05);
2.科技部国家重大科技攻关资助项目(2003BA712A11一叭);
3.云南省科技厅攻关课题资助项目(2004NGl3) |
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| Abstract: |
| 目的分析2002—2004年云南不明原因心源性猝死事件流行病学和临床特征。方法对2002 2004年所有云南不明原因心源性猝死报告病例进行现场调查，利用描述流行病学方法，总结流行病学、临床调查和实验室检查结果，分析其特点。结果2002 2004年共报告64例死亡病例和18例同发病例，事件分布在12个县的23个自然村。以自然村为单位发病率为1.83%，死亡率为1.51%，病死率为78.1%。91.3%的病区村位于山区和半山区，7—8月的病例数占总病例数的93.94%，15～50岁组的发病者为59.8%，64.63%的病例具有家庭聚集性，89.02%的病例具有村庄聚集性。大多数病例的病程很短，病程在24 h内的患者主要症状有恶心、呕吐、头昏、晕厥、乏力、胸痛和气促等。结论病例分布具有高度的时间和空间聚集性；死亡病例主要表现为心源性猝死。 |
| English Abstract: |
| Objective 7ro understand the epidemiologic and clinical characteris“cs of the“Yunnan unkrIown—cause sudden cardiac death(YUSCD)”.Methods Cases of YUSCD occurred in 2002—2004 were inves“gated with cross—sectional study. Clinical manifestation was observed and analyzed. Reults The YUSCD areas were mountainous and most of the YUSCD cases appeared between June and August.Most of the YuscD cases were young fanners and showed family/village clustering nature. MosC of the patients died quickly with only few recovered. The overall incidence of YUSCD was 1.83% with mortality as 1.51%.The fatality rate of YUSCD appeared to be 78.1%.ConcIusion The YUSCD cases had a cluste“ng feature along with time and area.The clinical manifestation of YUSCD could not be specifically identified，making the clinical diagnosis and treatment difficult when practicing in the fields that called for further studies on epidemiology，clinical work and etiologv. |
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