WS/T 210-2001Diagnosis of Keshan disease (English PDF)

5.1 Urgent

The onset is sudden, manifested by extensive and severe acute myocardial degeneration and necrosis.

The muscle contractility is significantly weakened, but the heart is enlarged or acute pulmonary edema is severe and acute Keshan disease.

5.2 Sub-acute

The course of the disease progressed slowly, and cardiogenic shock occurred.

5.3 Intended

5.4 Latent type

6.1 Acute Keshan disease needs to be the same as acute

6.2 Subacute Keshan disease needs to be the same as acute

Differentiation of vitamin hyperplasia, pericarditis, etc.

[Bronchiopneumonia, Endocardial Elastic Fiber

6.3 Chronic Keshan disease needs to be differentiated from dilated cardiomyopathy, [Jb package inflammation, rheumatic heart valve disease, etc.].

6.4 Latent Keshan disease needs to be the same as focal myocarditis and non-infarct

6.5 Refer to Appendix E for the differential diagnosis criteria of various types of Keshan disease.

Appendix A

(Good specification appendix) Epidemiological characteristics of Keshan disease A. l Regional the sick areas in my country are distributed in the narrow and low-selenium zone from the northeast to the southwest. According to the historical situation of the counties, townships, and villages where Keshan disease occurred, all the country's identified sick areas include Hebei, Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Shandong, Henan, Hubei, Chongqing, Sichuan, Guizhou, Yunnan, West 16 provinces (autonomous regions and municipalities) in Tibet, Shaanxi and Gansu. Keshan disease areas are all rural, mostly remote areas or mountainous areas with inconvenient transportation and underdeveloped economy.

A. 2 The crowd chooses best the cases are all farmers in the ward or non-ward residents who have lived in the ward for more than six months and have the same lifestyle as the farmers in the ward;

The disease is more common in women during the reproductive period, after weaning to preschool age (2 to 7 years old) children; it may be more frequent in families.

A.3 Timeliness

Acute and slow acute attacks mostly occur in the winter in the north (November to March of the following year), and the subacute type mostly occurs in the southwestern region (mainly it is found in Yunnan, Sichuan and Chongqing during the hot and humid summer (June~September).