论文部分内容阅读
目的 :了解胸肺型并殖吸虫病临床特征及误诊原因。方法 :文献复习我院 7例及国内 32 8例胸肺型并殖吸虫病报道 ,统计分析其临床特征及误诊情况。结果 :临床上发热 (6 5 .33% )、盗汗 (36 .2 4% )、咳嗽 (87.11% )、咳铁锈色痰或咯血 (31.6 5 % )胸痛或呼吸困难 (5 2 .10 % )、肺部干湿罗音 (2 5 .0 0 % )为主 ,外周血嗜酸粒细胞多增高 (94.12% ) ,胸片炎性浸润性阴影 (41.5 7% ) ,囊样或结节状影 (14.98% ) ,条索状阴影 (2 0 .5 9% ) ,胸膜肥厚 (6 0 .0 0 % ) ,胸腔积液 (19.6 1% )。误诊率达 39.48% ,其中 5 0 .0 0 %误诊为结核病。结论 :胸肺型并殖吸虫病临床表现复杂 ,极易误诊。
Objective: To understand the clinical characteristics of paragonimiasis and the causes of misdiagnosis. Methods: The literature review of 7 cases in our hospital and 328 cases of domestic paragonimiasis chest thorax reported, statistical analysis of its clinical features and misdiagnosis. Results: Clinical fever (65.33%), night sweats (36.24%), cough (87.11%), cough rusty sputum or hemoptysis (31.6%), chest pain or dyspnea (52.10% , Pulmonary dry and wet rales (25.0%), peripheral blood eosinophilia increased (94.12%), chest X-ray infiltration shadow (41.5%), cystic or nodular (14.98%), cord-like shadows (20.59%), pleural hypertrophy (60.0%) and pleural effusion (19.6%). Misdiagnosis rate reached 39.48%, of which 500.0% misdiagnosed as tuberculosis. Conclusion: The clinical manifestations of paragonimiasis of chest and lung are complicated and easily misdiagnosed.