CAJ | 학술논문

1977～1987年共收治肺吸虫性心包炎108例,年龄2～13岁,大多来自农村,均有生食石蟹及饮不洁生水史.潜伏期10天～6年.常有心慌、气促、咳喘、浮肿、乏力及食欲不振等症状,并发感染者伴发热.皮下游走性包块6例(5.6%),血中嗜酸粒细胞计数为(1～20)×109/L,X线或B超检查发现心包腔内大量积液.其中慢性心包缩窄22例,并发肺炎6例.过去单纯靠药物治疗或附加心包腔穿刺抽液,部分病例病程迁延,引起心包压塞和慢性缩窄.在药物治疗的同时及早施行心包切开引流及部分心包切除术能解除心包压塞.防止向慢性缩窄迁延.
1977～1987년공수치폐흡충성심포염108례,년령2～13세,대다래자농촌,균유생식석해급음불길생수사.잠복기10천～6년.상유심황、기촉、해천、부종、핍력급식욕불진등증상,병발감염자반발열.피하유주성포괴6례(5.6%),혈중기산립세포계수위(1～20)×109/L,X선혹B초검사발현심포강내대량적액.기중만성심포축착22례,병발폐염6례.과거단순고약물치료혹부가심포강천자추액,부분병례병정천연,인기심포압새화만성축착.재약물치료적동시급조시행심포절개인류급부분심포절제술능해제심포압새.방지향만성축착천연.
From 1977-1987,108 patients with paragonimus pericarditis were treated in our hospital.They were 72 males and 36 females,aged 2-13 years.Most patients came from countryside.All had a history of eating uncooked crab and drinking unboiled contaminated water.The clinical features,dignosis and treatment of paragonimus pericarditis are discussed.Drug and pericardiocentesis can control the infection but may result in cardiac tamponade and chronic constrictive pericarditis.Open drainage and partial pericardectomy at earlier stage will give rise to a better result.