Zhang Yi, Zhang Xu-Dong, Zhong Bo, Qiu Dong-Chuan
Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2012 Jun;24(3):264-7, 278.
To understand the current distribution and characteristics of patients with advanced schistosomiasis in Sichuan Province, so as to provide the scientific evidence for improving the management and treatment of advanced schistosomiasis.
The patients who had been diagnosed as advanced schistosomiasis or were supposed with advanced schistosomiasis were the objects of the investigation. The epidemiological survey and medical examination were used to investigate these persons one by one according to the national standard.
There were 1 684 patients with confirmed diagnosis in 7 cities of Sichuan Province. There were 1 066 cases of splenomegaly including post-surgery (63.30%), 545 cases of ascites (32.36%), 44 cases of multiple granulomas in the colon (2.61%), and 29 cases of dwarf (1.72%). Most of the patients were old and 51.72% of them were more than 60 years old. A total of 1 331 patients (79.04%) needed treatment and assistance at present, and 36.44% of them who had ascites needed internal medicine treatment.
There are also many patients with advanced schistosomiasis in Sichuan Province, and ascites and splenomegaly (post-surgery) were the main types. The patients with ascites should be the important objects of the treatment and assistance in the future.
了解四川省晚期血吸虫病患者的现状分布及特征，为改善晚期血吸虫病的管理与治疗提供科学依据。
以确诊为晚期血吸虫病或疑似晚期血吸虫病的患者为调查对象，按照国家标准逐一进行流行病学调查和体格检查。
四川省7个市共有确诊患者1684例。其中脾肿大（包括术后）1066例（63.30%），腹水545例（32.36%），结肠多发性肉芽肿44例（2.61%），侏儒29例（1.72%）。患者以老年人为主，60岁以上者占51.72%。目前共有1331例患者（79.04%）需要治疗和救助，其中腹水患者36.44%需要内科治疗。
四川省仍有较多晚期血吸虫病患者，腹水和脾肿大（术后）为主要类型，腹水患者应作为今后治疗和救助的重点对象。
