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通过对11例难治性脑囊虫病的临床分析,认为有以下几个原因:①颅内囊虫病灶广泛多发,脑脊液中驱虫药物达有效杀囊浓度后持续时间过短,或脑局部血循环中驱虫药物未达到杀囊虫浓度;②囊虫对驱虫药物产生耐药;③驱虫治疗不彻底;④重复感染囊虫;⑤患者免疫功能低下等。所以,对CT显示颅内囊虫病灶广泛多发的老年患者,应针对以上情况采取相应的治疗措施,使患者尽早康复。
Through the clinical analysis of 11 cases of refractory cysticercosis, that for the following reasons: ① intracranial cysticercosis is widespread, the anthelmintic drug in cerebrospinal fluid reaches the effective concentration of cystic persistence is too short, or cerebral blood circulation Deworming drugs did not reach the concentration of cysticercosis; cysticercosis insecticide resistance; ③ insecticide treatment is not complete; ④ repeated infection of cysticercosis; ⑤ patients with immune dysfunction. Therefore, the CT showed that intracranial cysticercosis lesions in elderly patients with high incidence should be taken for the above treatment, so that patients recover as soon as possible.