四川医学
四川醫學
사천의학
Sichuan Medical Journal
2015年
8期
1125-1127
,共3页
肺吸虫病%临床症状和体征%治疗
肺吸蟲病%臨床癥狀和體徵%治療
폐흡충병%림상증상화체정%치료
lung fluke disease%clinical symptoms and signs%treatment
目的 分析肺吸虫病的临床特点,提高对肺吸虫病的认识和诊断、治疗水平. 方法 通过对2011年8月至2014年10月我院收治的74例肺吸虫病患者的临床资料进行回顾性分析,包括流行病学史、临床表现、临床分型、实验室检查、影像学特点及治疗,分析总结肺吸虫病的诊断及治疗方法. 结果 发现45. 95%肺吸虫病患者有明确流行病学史, 87. 83%患者血嗜酸性粒细胞明显增高,70. 27%患者肺吸虫抗体阳性,予吡喹酮口服治疗疗效佳,不良反应小. 结论 肺吸虫病的临床表现复杂多样,临床医生在诊断时应通过流行病史、临床表现、实验室检查(尤其应重视血嗜酸性粒细胞及肺吸虫抗体检查)、影像学检查等综合分析,提高对肺吸虫病的认识及诊断准确率,避免误诊. 确诊后予吡喹酮口服治疗.
目的 分析肺吸蟲病的臨床特點,提高對肺吸蟲病的認識和診斷、治療水平. 方法 通過對2011年8月至2014年10月我院收治的74例肺吸蟲病患者的臨床資料進行迴顧性分析,包括流行病學史、臨床錶現、臨床分型、實驗室檢查、影像學特點及治療,分析總結肺吸蟲病的診斷及治療方法. 結果 髮現45. 95%肺吸蟲病患者有明確流行病學史, 87. 83%患者血嗜痠性粒細胞明顯增高,70. 27%患者肺吸蟲抗體暘性,予吡喹酮口服治療療效佳,不良反應小. 結論 肺吸蟲病的臨床錶現複雜多樣,臨床醫生在診斷時應通過流行病史、臨床錶現、實驗室檢查(尤其應重視血嗜痠性粒細胞及肺吸蟲抗體檢查)、影像學檢查等綜閤分析,提高對肺吸蟲病的認識及診斷準確率,避免誤診. 確診後予吡喹酮口服治療.
목적 분석폐흡충병적림상특점,제고대폐흡충병적인식화진단、치료수평. 방법 통과대2011년8월지2014년10월아원수치적74례폐흡충병환자적림상자료진행회고성분석,포괄류행병학사、림상표현、림상분형、실험실검사、영상학특점급치료,분석총결폐흡충병적진단급치료방법. 결과 발현45. 95%폐흡충병환자유명학류행병학사, 87. 83%환자혈기산성립세포명현증고,70. 27%환자폐흡충항체양성,여필규동구복치료료효가,불량반응소. 결론 폐흡충병적림상표현복잡다양,림상의생재진단시응통과류행병사、림상표현、실험실검사(우기응중시혈기산성립세포급폐흡충항체검사)、영상학검사등종합분석,제고대폐흡충병적인식급진단준학솔,피면오진. 학진후여필규동구복치료.
Objective To analyze the clinical characteristics of lung fluke disease and improve the level of diagnosis and treatment of lung fluke disease. Methods A retrospective analysis were made of 74 cases of lung fluke disease, include clinical manifestations,results of laboratory examination and so on. Diagnosis and treatment was also analyzed in this study. Results 45. 95% of lung fluke diseases had the history of ingestion 87. 83% patients blood eosinophil increased obviously, 70. 27% pa-tients with lung tematode antibody positive, praziquanted oral treatment curative effect was better, with little adverse reaction. Conclusion Lung fluke disease clinical symptoms and signs is diversification, clinicans in the diagnosis of paragonimiasis, first of all should be asked to the history of epidemiology, eosinophil clinical,antigen intradermal test changes and so on. Improve the level of diagnosis and treatment of lung fluke disease.
