Dimitrov Ts
Vutr Boles. 1983;22(6):72-4.
The number of the recorded patients with Balkan endemic nephropathy gradually decreased during the period after 1970. The author explains that by the interrupted prophylactic examinations and screenings of the population from the endemic villages during that period. The results obtained with the repeated screening, after 16 years, of the population of one hyperendemic village in Vratza district support that view point. New 74 patients with Balkan endemic nephropathy were found, 8 of them with uroepithelial tumours of the upper urinary pathways. Together with the 45 patients known so far, their total number amounts to 119, suggesting that 13,7 per cent of the population from that village has been affected by the disease. Those data convincingly suggest that the morbidity rate from Balkan endemic nephropathy in our country has not decreased - only its recording has been neglected, due to the interruption of the active search of those patients via screening of the population from the endemic settlements. That emphasizes the great importance of those investigation methods in the establishment of the real Balkan endemic nephropathy morbidity.
1970年以后，记录在案的巴尔干地方性肾病患者数量逐渐减少。作者解释说，这是因为在此期间对来自地方性村庄的人群的预防性检查和筛查中断了。16年后对弗拉察地区一个高度地方性村庄的人群进行重复筛查所获得的结果支持了这一观点。发现了74例新的巴尔干地方性肾病患者，其中8例患有上尿路尿路上皮肿瘤。加上目前已知的45例患者，总数达119例，这表明该村庄13.7%的人口受到了该病的影响。这些数据令人信服地表明，我国巴尔干地方性肾病的发病率并未下降，只是由于通过对地方性定居点人群进行筛查来积极寻找这些患者的工作中断，导致其记录被忽视了。这强调了这些调查方法在确定巴尔干地方性肾病实际发病率方面的重要性。
