Aim To analyze the features of newly recurrent schistosomiasis cases at advanced stage in Shashi Distirct of Hubei in 2004～2009.Methods The data concerning 240 newly recurrent schistosomiasis cases in the past 6 years were analyzed.Results There 73.33%of the cases from three types of most seriously prevalent suburban areas.Ther 60.42% (145/240)were males and 39.58%(95/240)were females.77.92%(187/240)of them were over age of 50 years.94.58% (227/240)patients were with chronic schistosomiasis and received average treatment of 4.2 times.Twenty five cases (10.42%)were complicated with upper gastrointestinal bleeding,4(l.67%)with hepatic encephalopathy,59(24.48%)with hepatitis B virus infection and 6(2.5%)with hepatitis C virus infection.75(31.25%)were new cases,and 158(65.83%) were historically recurrent schistosomiasis cases at advanced stage,7 were recurrent cases(2.92%)after 2004,13 were missed cases and 17 were undiagnosed ones.Conclusion Newly recurrent and relapse schistosomiasis cases at advanced stage were characterized by senility,complicated with ascites and hepatitis B and a long history of schistosomiasis as well. Thus integrated measures including participation of the cases,medical institutions and society be taken.

沙市区位于长江中游、荆江北岸,辖区总面积约550Km2,耕地面积16.99万亩,全区辖2乡3镇1农场,5个街道办事处,105个行政村,总人口55.44万人,其中农业人口14万人.受血吸虫病威胁人口12万人.至2003年全区仍有钉螺面积7 639亩,血吸虫病人3 305人,晚期血吸虫病病人26人,晚血患病率为0.79%.为及时、全面掌握全区晚血病人的分布、分型等,为开展晚血医疗救助工作提供科学依据,2003年9-12月在全区范围内开展了晚血调查工作.

目的了解沙市区2004、2005年免费救治晚期血吸虫病(晚血)的情况、费用及效果。方法查阅患者住院病历、费用清单、晚血病人动态卡,救治后随访记录及湖北省晚血救治专项报表,并进行分析和总结。结果2004年度确认晚血救治对象132例,救治前死亡22例,实施救治110例,治愈10例,救治中死亡2例,需2005年进行复治98例。2005年新增晚血32例,2005年度确认晚血救治对象130例,救治前死亡14例,实施救治116例,治愈11例,救治后死亡3例。2年共救治136人,233人次,人均住院1.71人次,43.5床日,住院救治医药费共计1151196.90元,每人次救治费用为4940.76元。救治后治愈和病情好转稳定90例,尚不稳定33例。结论国家出台按每年5000元/人救治费用的政策基本可以满足项目的实施,救治后的绝大部分晚血患者病情治愈、好转稳定,生存质量得到改善,劳动力恢复,达到了免费救治晚血的目的。