小儿肺吸虫性心包炎

Paragonimus Pericarditis in Children

１９７７～１９８７年共收治肺吸虫性心包炎１０８例，年龄２～１３岁，大多来自农村，均有生食石蟹及饮不洁生水史。潜伏期１０天～６年。常有心慌、气促、咳喘、浮肿、乏力及食欲不振等症状，并发感染者伴发热。皮下游走性包块６例（５．６％），血中嗜酸粒细胞计数为（１～２０）×１０９／Ｌ，Ｘ线或Ｂ超检查发现心包腔内大量积液，其中慢性心包缩窄２２例，并发肺炎６例。过去单纯靠药物治疗或附加心包腔穿刺抽液，部分病例病程迁延，引起心包压塞和慢性缩窄。在药物治疗的同时及早施行心包切开引流及部分心包切除术能解除心包压塞。防止向慢性缩窄迁延。

From 1977-1987, 1 08 patients with paragonimus pericarditis were treated in our hospital. They were 72 males and 36 females, aged 2- 13 years. Most patients came from countryside. All had a history of eating uncooked crab and drinking unboiled contaminated water.The clinical features, dignosis and treatment of paragonimus pericarditis are discussed. Drug and pericardiocentesis can control the infection but may result in cardiac tamponade and chronic constrictive pericarditis.Open drainage and partial pericardectomy at earlier stage will give rise to a better result.