摘要
目的探讨并殖吸虫病的临床表现、诊断及治疗,提高并殖吸虫病防治水平。方法收集并殖吸虫病患者的临床资料进行回顾性分析。结果共确诊并殖吸虫病患者17例,其中11例患者以咳嗽、胸痛、发热为主要临床表现,13例患者存在胸腔积液。17例患者的末梢血嗜酸性粒细胞比例29.9%~59.3%,并殖吸虫抗体Ig G(ELISA)均为阳性。经吡喹酮治疗后,所有患者均治愈,随访1~2年无复发。结论并殖吸虫病患者临床表现形式多样化,影像表现则以胸腔积液多见。末梢血中嗜酸性粒细胞增多及并殖吸虫抗体检查有助于此病诊断,吡喹酮治疗效果确切。
Objective To investigate the clinical features,diagnosis and treatment of paragonimiasis,so as to improve the prevention and treatment of it.Methods The clinical data of paragonimiasis patients were collected and retrospectively analyzed.Results Totally 17 patients were diagnosed as paragonimiasis and the main clinical features of 11 patients were cough,chest pain and fever,and the pleural effusion was found in 13 cases.Peripheral blood eosinophil percentages of all patients were significantly increased,and the detections of antibody Ig G against Paragonimus parasite of ELISA method were positive in all patients.All the patients were cured after praziquantel treatment and no recurrence found in the follow-up visit.Conclusion The clinical features of paragonimiasis patients are diverse,and pleural effusion is quite common in imaging examinations.The eosinophil percentages and antibody detections have important values for the diagnosis of paragonimiasis.Praziquantel is an effective medicine in the treatment.
出处
《中国血吸虫病防治杂志》
CAS
CSCD
北大核心
2016年第2期217-219,共3页
Chinese Journal of Schistosomiasis Control
基金
江苏省无锡市卫生局卫生科研项目面上项目(MS201435)
关键词
并殖吸虫病
临床症状
体征
诊断
治疗
Paragonimiasis
Clinical symptom
Sign
Diagnosis
Treatment