小儿肺吸虫性心包炎43例临床分析

Clinical analysis of 43 children with paragonimus pericarditis

目的 :探讨小儿肺吸虫性心包炎的临床特点。方法 :对 4 3例肺吸虫性心包炎患儿的诊断及治疗效果进行回顾性分析。结果 :临床表现多样。 34例用吡喹酮、心包穿刺及心包切开引流等综合治疗 ,随访 30例 ,2 6例痊愈 ,4例转为缩窄性心包炎 ,均行心包剥脱术后痊愈。结论 :仔细询问食蟹史 ,常规查外周血和心包穿刺液嗜酸性粒细胞绝对计数 ,肺吸虫抗原皮内试验 ,可早期确诊本病。病程较长才开始治疗的患儿 ,临床痊愈后仍有发生心包缩窄的可能。

Objective:To study the clinical characteristics of children with paragonimus pericarditis.Methods:The diagnosis and treatment effect of 43 children with paragonimus pericarditis were retrospectively analysed.Results:There was diversity in the clicinal manifestations.Thirty-four cases were treated with praziquantel,pericardiocentesis,open pericardial drainage and so on.In 30 cases that were followed up,26 cases were cured and 4 cases developed pericardial constriction.Four cases with constrictive pericarditis were cured after pericardiectomy.Conclusion:The children with paragonimus pericarditis could be diagnosed early by careful asking of the case history of eating crabs,routine examination of the numbers of the acidophile in blood and pericardial effusion and paragonimus antigen intracutaneous test.It is possible to develop pericardial constriction after clinical cure in those cases that have had a long course of disease before treatment.