Bozelli Carlos Eduardo, Araújo Silvana Marques de, Guilherme Ana Lúcia Falavigna, Gomes Mônica Lúcia
Programa de Pós-graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Brazil.
Cad Saude Publica. 2006 May;22(5):1027-34. doi: 10.1590/s0102-311x2006000500015. Epub 2006 Apr 28.
This paper describes the clinical and epidemiological profile of patients with Chagas disease treated in outpatient and inpatient departments at the Maringá University Hospital (UHM) in Paraná State, Brazil, from May 1998 to May 2003. Mean age was higher among hospitalized patients (p < 0.000). Hospitalized patients were predominantly males, as opposed to inpatients who were mostly females (p = 0.0033). Of the 95 patients, 60% were born in the States of Minas Gerais and São Paulo and 25.3% in Paraná. Family history for Chagas was positive in 68.9%, while 53.3% reported the presence of triatomine vectors in the household. In decreasing order, the most common clinical forms were cardiac, digestive, indeterminate, and cardiodigestive. The indeterminate form predominated among outpatients, as opposed to the cardiac and digestive forms among inpatients. Chronic cardiac and digestive complications were the principal complaints at hospital admission. This study showed particularly high percentages of cardiac (38.9%) and digestive disease (26.3%) as compared to other geographic areas. The Maringá University Hospital provides symptomatic care for these complications and does not prioritize etiological treatment, even for patients in the indeterminate phase.
本文描述了1998年5月至2003年5月在巴西巴拉那州马林加大学医院（UHM）门诊和住院部接受治疗的恰加斯病患者的临床和流行病学概况。住院患者的平均年龄较高（p < 0.000）。住院患者以男性为主，而门诊患者大多为女性（p = 0.0033）。在95名患者中，60%出生在米纳斯吉拉斯州和圣保罗州，25.3%出生在巴拉那州。恰加斯病家族史阳性率为68.9%，而53.3%的患者报告家中存在锥蝽媒介。按发病率递减顺序，最常见的临床类型为心脏型、消化型、隐匿型和心脏消化型。隐匿型在门诊患者中占主导地位，而住院患者中以心脏型和消化型为主。慢性心脏和消化并发症是入院时的主要主诉。与其他地理区域相比，本研究显示心脏疾病（38.9%）和消化系统疾病（26.3%）的比例特别高。马林加大学医院为这些并发症提供对症治疗，即使对处于隐匿期的患者，也不优先进行病因治疗。
