国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2009年
4期
207-211
,共5页
郑德福%肖宁%高丽霞%李定越%李佳圆%田洪春%陈闯%陈建平%廖玮%陈漪澜
鄭德福%肖寧%高麗霞%李定越%李佳圓%田洪春%陳闖%陳建平%廖瑋%陳漪瀾
정덕복%초저%고려하%리정월%리가원%전홍춘%진틈%진건평%료위%진의란
中国大陆%水蛭病%地区分布%危害
中國大陸%水蛭病%地區分佈%危害
중국대륙%수질병%지구분포%위해
Mainland of China%Leech-caused disease%Distribution%Harmfulness
目的 总结中国大陆近50年水蛭病在人群中的地区分布与危害、水蛭在人体的寄生部位及多种不同的治疗方法. 方法 收集、分析国内50年来不同地区的水蛭病资料,对所获资料进行归类分析. 结果 共收集到1 003例病例资料,分析结果显示中国大陆水蛭病分布在15个省、自治区;患者年龄为1.5岁至73岁不等;以农民、幼女、学生为主,其次为伐木工、采集工;发病季节以夏季为主,秋季次之;患者病程为1～365 d以上不等;虫体寄生部位以鼻腔、阴道、咽喉部较为常见,眼部、上颌窦、肠腔、膀胱、外阴、胃、皮下极为罕见;患者临床表现为失血、贫血、恐惧、紧张、头昏、头痛、腹痛、腹泻、恶心、呕吐、鼻塞、呼吸受阻、血痰、咯血等,部份患者失血量在200～300 ml之间,重者达600 ml. 结论 水蛭病主要发生于国内某些地区,特别是西南的广西、贵州、四川、云南及中南的湖北,沿海的福建、广东等省(自治区)边远山区的农村,对人体的危害尤其对成年劳动者与幼女的危害较大.
目的 總結中國大陸近50年水蛭病在人群中的地區分佈與危害、水蛭在人體的寄生部位及多種不同的治療方法. 方法 收集、分析國內50年來不同地區的水蛭病資料,對所穫資料進行歸類分析. 結果 共收集到1 003例病例資料,分析結果顯示中國大陸水蛭病分佈在15箇省、自治區;患者年齡為1.5歲至73歲不等;以農民、幼女、學生為主,其次為伐木工、採集工;髮病季節以夏季為主,鞦季次之;患者病程為1～365 d以上不等;蟲體寄生部位以鼻腔、陰道、嚥喉部較為常見,眼部、上頜竇、腸腔、膀胱、外陰、胃、皮下極為罕見;患者臨床錶現為失血、貧血、恐懼、緊張、頭昏、頭痛、腹痛、腹瀉、噁心、嘔吐、鼻塞、呼吸受阻、血痰、咯血等,部份患者失血量在200～300 ml之間,重者達600 ml. 結論 水蛭病主要髮生于國內某些地區,特彆是西南的廣西、貴州、四川、雲南及中南的湖北,沿海的福建、廣東等省(自治區)邊遠山區的農村,對人體的危害尤其對成年勞動者與幼女的危害較大.
목적 총결중국대륙근50년수질병재인군중적지구분포여위해、수질재인체적기생부위급다충불동적치료방법. 방법 수집、분석국내50년래불동지구적수질병자료,대소획자료진행귀류분석. 결과 공수집도1 003례병례자료,분석결과현시중국대륙수질병분포재15개성、자치구;환자년령위1.5세지73세불등;이농민、유녀、학생위주,기차위벌목공、채집공;발병계절이하계위주,추계차지;환자병정위1～365 d이상불등;충체기생부위이비강、음도、인후부교위상견,안부、상합두、장강、방광、외음、위、피하겁위한견;환자림상표현위실혈、빈혈、공구、긴장、두혼、두통、복통、복사、악심、구토、비새、호흡수조、혈담、각혈등,부빈환자실혈량재200～300 ml지간,중자체600 ml. 결론 수질병주요발생우국내모사지구,특별시서남적엄서、귀주、사천、운남급중남적호북,연해적복건、엄동등성(자치구)변원산구적농촌,대인체적위해우기대성년노동자여유녀적위해교대.
Objective To summarize and analyze the distribution and harmfulness of leech-cansed dis-ease among populations, parasitized locations of leeches in human body and different treatment measures against this disease in mainland of China in the last 50 years. Methods To collect the information from varieties of medical books, journals, bulletins, monograph and journals for parasitological subjects, as well as leech-caused disease data reported from different regions. Results Information of 1 003 cases were collected and the data revealed that leech-caused diseases were found in 15 provinces or autonomous regions yet, and the patients' a-ges ranged from 1.5 to 73. Most of these victims were farmers, little girls and students, and next were lumber-men. The high incident season of the disease was summer followed by autumn. Disease course lasted from 1 day to 365 days. The common locations of leeches detected were in nose, vagina, pharynx and larynx, and rarely in eyes, intestines, bladder, stomach and subcutaneous tissue. The clinical symptoms were blood less, anaemia, panic, nervousness, dizziness, headache, abdominal pain, diarrhoea, nanseat and vomiting. Some cases once lost blood volume ranging from 200 to 300 ml, and even 600 ml in the most severe eases. Conclusion The parasitic disease caused by leech is mainly distributed in the remotes of Guangxi, Guizhou, Sichuan and Yun-nan provinces of the southwest China, Hubei Province of mid-south China, and Fujian and Guangdong prov-inces along the east coach of China. It causes great damage to the residents, especially the adult farmers and little girls.
