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我们在调查及实验研究证实本地区(贵州省铜仁)斯氏肺吸虫病流行区的基础上,依据有食蟹史,肺吸虫抗原皮试阳性反应,X线检查显示心包积液或增厚、钙化而确诊之肺吸虫性心包炎16例。经抗肺吸虫治疗后1~8年随访,发现部分变为缩窄性心包炎。缩窄性心包炎的出现与延误诊断和正确治疗有明显关系。临床资料男性13例,女性3例。5~9岁7例,10~13岁8例,19岁1例。16例均居住农村。食蟹的主要方法是将活蟹整只放柴灶内略烧烤食,有部分生食。因全身浮肿、腹胀就诊占10
On the basis of investigation and experimental study confirming the endemic area of Paragonimus spp. In the area (Tongren, Guizhou Province), we found that pericardial effusion or thickened, Calcification and diagnosis of paragonimous pericarditis in 16 cases. After anti-fluke treatment 1 to 8 years follow-up, found that some become constrictive pericarditis. The occurrence of constrictive pericarditis has a clear relationship with the delay in diagnosis and correct treatment. Clinical data of 13 males and 3 females. 5 to 9 years in 7 cases, 10 to 13 years in 8 cases, 19 years old in 1 case. 16 cases were living in rural areas. The main method is to eat crabs live crab whole firewood burned only slightly, some raw food. Due to systemic edema, abdominal distention treatment accounted for 10