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本文报道儿童肺吸虫病492例,其中483例(98.17%)有食溪蟹史:煨吃31.71%、盐腌吃26.83%、生吃14.23%、蒸煮吃12.19%、辣酱渍吃8.54%、糟(醉)吃6.5%。临床特点是童虫移行症;胸腹型192例(39.02%)、肺型121例(24.8%)、肝型92例(18.7%)、皮下结节及肌肿块型60例(12%)、脑脊型11例(2.24%)、眼型8例(1.63%)、心包炎型6例(1.22%)、生殖器型2例(0.41%)。仅4例咳锈痰并见虫卵。发病早期及重感染者,WBC、EOS、ESR、γ球蛋白、FDP明显增高,胸膜及肝损害较多。12例活检发现肺吸虫(PW)童虫3人。临床误诊率为39.02%(192/492例)。
This paper reports 492 cases of paragonimiasis in children, of which 483 cases (98.17%) have the history of Caoxi crab: simmer 31.71%, salted 26.83%, raw 14.23%, cooking 12.19%, spicy pickled 8.54% bad (Drunk) eat 6.5%. There were 192 cases (39.02%) of chest and abdomen type, 121 cases (24.8%) of lung type, 92 cases (18.7%) of liver type and 60 cases (12%) of subcutaneous nodules and muscle mass. Cerebral ridge in 11 cases (2.24%), ocular type in 8 cases (1.63%), pericarditis in 6 cases (1.22%), genital type in 2 cases (0.41%). Only 4 cases of cough sputum sputum and see eggs. Early onset and severe infections, WBC, EOS, ESR, γ-globulin, FDP was significantly higher pleural and liver damage more. Twelve biopsies found 3 parasites of paragonimiasis (PW). The clinical misdiagnosis rate was 39.02% (192/492 cases).