CAJ | 학술논문

目的：分析肺吸虫病的诊治现状，提高临床的诊治水平。方法对465例肺吸虫患者的临床资料做统计、分析。结果肺吸虫病以学龄儿童发病为多。临床表现以皮下包块或结节、呼吸系统症状为多。末梢血的嗜酸细胞百分比、流行病学资料、抗体的检测是其诊断的重要依据。通过吡喹酮足剂量正规疗程的抗虫治疗，肺吸虫病可以达到临床治愈。目前本病临床误诊率高，导致患者看病周折反复，延误了病情，增加了患者精神和经济负担。结论嗜酸细胞百分比、流行病学资料、抗体的检测对本病的诊断有着重要价值，吡喹酮是治疗本病安全有效的药物。加强临床医生对本病的认知，减少临床误诊势在必行。
목적：분석폐흡충병적진치현상，제고림상적진치수평。방법대465례폐흡충환자적림상자료주통계、분석。결과폐흡충병이학령인동발병위다。림상표현이피하포괴혹결절、호흡계통증상위다。말소혈적기산세포백분비、류행병학자료、항체적검측시기진단적중요의거。통과필규동족제량정규료정적항충치료，폐흡충병가이체도림상치유。목전본병림상오진솔고，도치환자간병주절반복，연오료병정，증가료환자정신화경제부담。결론기산세포백분비、류행병학자료、항체적검측대본병적진단유착중요개치，필규동시치료본병안전유효적약물。가강림상의생대본병적인지，감소림상오진세재필행。
Objective To analyze the status quo of the diagnosis and treatment of paragonimiasis, and to improve the lev-el of clinical diagnosis and treatment. Methods The clinical data of 465 cases of paragonimiasis patients were analyzed statistical-ly. Results The incidence of paragonimiasis was high mainly for school-age children. Subcutaneous masses or nodules and respir-atory symptoms were the most common clinical manifestations. Peripheral blood eosinophil percentage, epidemiological data, and antibody detection were important for diagnosis. Clinical cure could be achieved by full dose standard treatment with praziquantel for paragonimiasis. Currently, the high mis-diagnosis rate delayed the treatment, turned over the progress of recovery, and in-creased the mental and economic burden of patients. Condusion The eosinophil percentage, epidemiological data, and antibody detection have important values for diagnosis Praziquantel is a safe and effective medicine. It is imperative for the clinician to im-prove the cognition of the disease and to reduce clinical misdiagnosis.