341 cases of death of advanced schistosomiasis.docVIP

 PAGE \* MERGEFORMAT 4 341 cases of death of advanced schistosomiasis [Keywords:] advanced schistosomiasis, the cause of death, analysis Qianjiang City, Hubei Province is one of the city and county schistosomiasis. The city’s investigation found that from 1990-2005 a total of 4127 people with advanced schistosomiasis patients (times, of which 341 cases of death, now the cause of death of the late deaths as schistosomiasis. 1 Clinical data 1.1 General Information 1990-2005, 341 cases of advanced schistosomiasis deaths, 222 cases were male, female 119 cases, the oldest 65 years old, minimum of 20 years, mean 32 years old. 1.2 The diagnosis is based under the lt;lt;Schistosomiasis Control Manualgt; “(2 diagnostic criteria established by the late diagnosis of schistosomiasis. Ascites 240 cases of death, accounting for 70.38%, 101 patients with splenomegaly type of death, accounting for 29.62%. 1.3 Clinical manifestations in 341 cases, 70 cases of abdominal distension, anorexia, 80 patients, oliguria-yellow 40 cases, 120 cases of diarrhea, 140 cases of labor declined, while there were chills, fever, hematemesis, melena, ascites, jaundice, hepatomegaly 291 cases in 341 cases, the maximum under the costal margin 6cm, Xiphoid 12cm, 120 cases of splenomegaly (one of 50 cases, two of 40 cases. 1.4 341 cases of complications and comorbidities of patients had one or more complications (see Table 1. Coexistence of other diseases, 190 cases (55.72%, of which 57 cases of the coexistence of hepatitis, 43 cases of peptic ulcer, cholecystitis, 30 cases 15 cases of pulmonary heart disease, chronic bronchitis, 20 cases, 9 cases of diabetes, hypertension in 16 patients. Table 1 341 cases of advanced schistosomiasis patients with complications 1.5 Incidence of advanced schistosomiasis have a clear history of past, the average duration of 18.6 years (2 to 30 years), the onset time of 48.6 days to death (1.5 ~ 170 days). There is an incentive onset of 120 cases