广东省19例粪类圆线虫感染者的检查结果分析

Analysis of the Examination Results of 19 Cases Infected with Strongyloides stercoralis in Guangdong Province

目的对来自广东省不同地区的19例粪类圆线虫患者的粪便等标本进行检查,并随访观察。方法取所有患者的粪便,部分患者的尿液、痰液、呕吐物和眼部分泌物,采用生理盐水直接涂片法、培养法、离心沉淀法等制作玻片标本后置显微镜下观察。结果查到粪类圆线虫杆状蚴、丝状蚴,在呕吐物中还查到虫卵;其中7例患者合并华支睾吸虫感染;1例患者合并蛔虫、鞭虫和蛲虫感染。患者口服噻苯达唑、阿苯达唑和吡喹酮等药物进行治疗。结论该虫在本省有散在分布;免疫功能正常者口服以上药物效果显著,复查未发现病原体。

Objective To investigate 19 cases infected with Strongyloides stercoralis in different areas of Guangdong province. Method Samples of stool, urine, sputum, vomit and eye secretion were collected from patients. The samples were tested by direct smear method, culture method and sedimentation technique, and then examined under microscope. Result Rhabditiform larvae and filariform larvae of Strongyloides stercoralis were found in specimens. Eggs were found in vomit of patients. 7 out of 19 cases were co-infected with Clonorchis sinensis and 1 caes was co-infected with Ascaris lumbricoides, Trichuris trichiura and Enterobius vermicularis. Patients were treated with oral administration of tiabendazole, albendazole and praziquantel. Conclusion Strongyloides stercoralis infection were scattered in Guangdong province. Tiabendazole, albendazole and praziquantel have good curing effect in immunocompetent person. After treatment no pathogen was found in the follow up clinical examination.