儿童并殖吸虫病39例回顾性分析

Retrospective Analysis of 39 Child Cases of Paragonimiasis

对重庆三峡中心医院2008-2010年收治的39例并殖吸虫病患儿临床资料进行回顾性分析。39例患儿,年龄3～10岁,其中多浆膜腔积液25例(64.1%),脑型14例(35.9%)。25例浆膜腔积液患儿中,有呼吸困难、呼吸急促和呼吸音减弱者25例(100%),其中合并化脓性胸膜炎者8例(32.0%),有端坐呼吸、活动受限和心音遥远者23例(92.0%),其中合并化脓性心包炎者2例(8.0%),腹胀20例(80.0%),肝脏肿大23例(92.0%)。14例脑型患儿中,头痛10例(71.4%),呕吐8例(57.1%),抽搐2例(14.3%),肢体强直伴意识障碍1例(7.1%)。39例患儿中,手术结合吡喹酮治疗者8例,单纯吡喹酮治疗者31例。治愈25例(64.1%),好转13例(33.3%),无明显改变1例(2.6%)。

Clinical data of 39 children with paragonimiasis treated in Chongqing Three Gorges Central Hospital during 2008-2010 were retrospectively analyzed. The cases aged from 3 to 10 years old, with 25 cases of polyserositis （64.1%）, 14 cases of cerebral paragonimiasis （35.9%）. Among the eases of polyserositis, all showed dyspnea, tachypnea and diminished respiration （100%）. Other symptoms or signs included purulent pleurisy, orthopnea, restricted activity, distant heart sounds, purulent pericarditis, abdominal distension, and hepatomega!y. In the 14 cases of cerebral paragonimiasis, 10 cases （71.4%） complained headache, 8 cases （57.1%） with vomiting, and other symptoms such as seizures, limb rigidity associated with conscious disturbance. Eight patients were treated with surgery and praziquantel, while others with praziquantel alone. After treatment 25 cases （64.1%） were cured, 13 cases （33.3%） improved, and 1 case （2.6%） showed no change.