影响晚期血吸虫病患者生存因素的探讨

• 作 者: 王德威 邵静鸣 王世兰 张一公 陈青林 张昌迎
• 机 构: 江苏省昆山市血吸虫病防治站!昆山215300,江苏省昆山市血吸虫病防治站!昆山215300,江苏省昆山市血吸虫病防治站!昆山215300,江苏省昆山市血防办公室,江苏省昆山市血防办公室,江苏省昆山市血
• 出 处: 中国血吸虫病防治杂志
• 发表日期: 2000年02期
• 关键词: 平均死亡年龄 晚期血吸虫病 病死率 平均寿命 肝纤维化 消化道出血 肝昏迷 亡者 血吸虫病人 血吸虫病

目的探讨影响晚期血吸虫病生存的有关因素。方法对全市晚期血吸虫病进行１０年随访观察。结果男性晚血年病死率３．４％，显著高于女性晚血年病死率２．５％（Ｐ＜０．０１），女性平均死亡年龄明显高于男性（Ｐ＜０． ０１）。晚血因素导致死亡占 ４３． ５％，其中肝纤维化腹水及其感染居首位，其次是消化道出血和肝昏迷。非晚血因素导致死亡者中，肿瘤居各种死因的首位。脾切除者平均死亡年龄明显低于未切脾者（Ｐ＜０．０１）。

Objective To explore the factors that affect the survival of advanced schistosomiasis. Methods The advanced schistosomiasis in the city was followed up for 10 years. Results The annual mortality of men with late blood was 3.4%, which was significantly higher than that of women with late blood (2.5%) (P <0.01). The mean death age of women was significantly higher than that of men (P <0.01). Late blood lead to death accounted for 43%. 5%, of which liver fibrosis ascites and infection rank first, followed by gastrointestinal bleeding and hepatic coma. Among those who died of non-late blood, the cancer ranks first among all causes of death. The average death age of splenectomy was significantly lower than that of those without splenectomy (P <0.01).