饱和盐水浮聚法诊断钩虫病在不明原因消化系出血中的价值

Saturated saline flotation method for diagnosis of hookworm disease: Implications for diagnosis of obscure gastrointestinal bleeding

目的:探讨饱和盐水浮聚法诊断钩虫病在不明原因消化系出血中的诊断价值.方法:选取2010-01/2013-12眉山市人民医院收治的初诊断为不明原因消化系出血,其后通过反复胃镜检查诊断为钩虫病的患者23例.连续3次,间隔1 d以上行饱和盐水浮聚法检测大便,并收集患者的病例资料.结果:初次钩虫卵阳性13例(56.5%);再次累积阳性19例(82.6%);3次累积阳性21例(91.3%).结论:在钩虫感染流行区采用饱和盐水浮聚法检测寄生虫卵特别是钩虫卵对诊断不明原因消化系出血有一定价值.

AIM： To investigate the value of saturated saline flotation method for diagnosis of hook-worm disease in the diagnosis of obscure gastrointestinal bleeding. METHODS： Twenty-three patients who were diagnosed with obscure gastrointestinal bleeding and with hookworm disease by repeated endoscopy from January 2010 to December 2013 at the Meishan City People＇s Hospital were included in the study. Saturated saline flotation method was performed to detect the stool three consecutive times with an interval of more than one day, and the patient＇s clinical data were collected.RESULTS： In the first time, 13 （56.5%） patients were found positive for hookworm eggs; 19 （82.6%） patients were positive in the first two times; and a total of 21 （91.3%） patients were positive in the three times. CONCLUSION： Using saturated saline flotation method to detect parasite eggs especially hookworm eggs has an appreciated value in the diagnosis of obscure gastrointestinal bleeding.