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[西部健康区域的囊性纤维化]

[Cystic fibrosis in the Western health region].

作者信息

Fluge G

机构信息

Barneklinikken Haukeland Sykehus, Bergen.

出版信息

Tidsskr Nor Laegeforen. 2000 Feb 20;120(5):568-71.

Abstract

78 patients with cystic fibrosis have been diagnosed in western Norway (Health Region 3) since 1960. 31 were born before 1971 (40%). 44 patients were born in the county of Hordaland (62%), including the city of Bergen where the western Cystic Fibrosis Centre is located. 24 (31%) patients were born in Rogaland, and five (7%) in Sogn & Fjordane. 12 patients have died, 9 of them born before 1971 (survival in this cohort of patients is 71%). During two decades from 1971 to 1990, 3 out of 33 patients have died (survival 91%). All patients born after 1990 are alive. The median age at death was 18.5 years. Among patients alive in 1999, 32 (41.5%) are more than 20 years and 19 (24.7%) are more than 30 years old. Median age among all patients is 19.5 years (range 3-51). Chronic lung infection with Pseudomonas aeruginosa has been diagnosed in 20.8% of all patients, which is lower than the average of Norwegian cystic fibrosis patients (35%). Survival among cystic fibrosis patients in Western Norway is good compared to data from other countries. It seems realistic to expect that our patients should achieve a median survival to more than 30 years of age.

摘要

自1960年以来,挪威西部(第3健康区)已确诊78例囊性纤维化患者。其中31例出生于1971年之前(占40%)。44例患者出生于霍达兰郡(占62%),包括西部囊性纤维化中心所在的卑尔根市。24例(占31%)患者出生于罗加兰郡,5例(占7%)出生于松恩-菲尤拉讷郡。12例患者已死亡,其中9例出生于1971年之前(该队列患者的生存率为71%)。在1971年至1990年的20年期间,33例患者中有3例死亡(生存率为91%)。所有1990年以后出生的患者均存活。死亡患者的中位年龄为18.5岁。在1999年存活的患者中,32例(占41.5%)年龄超过20岁,19例(占24.7%)年龄超过30岁。所有患者的中位年龄为19.5岁(范围为3 - 51岁)。所有患者中有20.8%被诊断出患有铜绿假单胞菌慢性肺部感染,这低于挪威囊性纤维化患者的平均水平(35%)。与其他国家的数据相比,挪威西部囊性纤维化患者的生存率良好。预计我们的患者中位生存期超过30岁似乎是现实的。

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