肺吸虫病并发肺结核52例临床分析

Paragonimiasis complicated with pulmonay tuberculosis: clinical analysis of 52 cases

目的探讨肺吸虫病并发肺结核的临床表现及治疗,提高对肺吸虫病并发肺结核的认识。方法对1995—2002年收治的52例肺吸虫病并发肺结核患者的临床资料进行回顾性分析。结果肺吸虫病并发肺结核均为青年和成年人,男性(67.3%)多于女性,大多数是在疫区居住的农民(76.9%);临床表现呈复杂性、多样性,误诊11例(21.1%);全部病例在流行区均有食半生石蟹或饮溪流生水史,肺结核和肺吸虫病均通过病原学检查确诊。结论肺吸虫病并发肺结核时,两病的临床症状和体征有许多相似之处,影像学有时也难分辨,必须结合病史及病原学检查可确诊。

Objective To explore the clinical symptoms and the treatment of paragonimiasis complicated with pulmonary tuberculosis and to enhance the understanding of the disease. Methods The clinical documents of 52 cases of paragonimiasis complicated with pulmonary tuberculosis treated during 1995 - 2002 were reviewed. Results The patients were all adults, with 67.3% of male （35 out of 52）. 76.9% patients （40 out of 52）. were peasants from the epidemic-stricken area and 21.2% cases were misdiagnosed （11 out of 52） because of the complicacy and variety of the clinical symptoms. All patients ever ate half- raw Charybdis （Charybdis） natatot or drank water from rivulets in the epidemic - stricken area. 4 cases were contacts of pulmonay tuberculosis. The latency was not easily determined but in most cases it ranged from 30 days to one year. Conclusion Since there are many similarities in signs and symptoms for both paragonimiasis and pulmonay tuberculosis, when the two disease are complicated, it is difficult to differentiate them through radiographic technology and disease history and aetiological examination must be applied to confirm the diagnosis.