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目的探讨并殖吸虫病的临床表现、诊断及治疗,提高并殖吸虫病防治水平。方法收集并殖吸虫病患者的临床资料进行回顾性分析。结果共确诊并殖吸虫病患者17例,其中11例患者以咳嗽、胸痛、发热为主要临床表现,13例患者存在胸腔积液。17例患者的末梢血嗜酸性粒细胞比例29.9%~59.3%,并殖吸虫抗体Ig G(ELISA)均为阳性。经吡喹酮治疗后,所有患者均治愈,随访1~2年无复发。结论并殖吸虫病患者临床表现形式多样化,影像表现则以胸腔积液多见。末梢血中嗜酸性粒细胞增多及并殖吸虫抗体检查有助于此病诊断,吡喹酮治疗效果确切。
Objective To investigate the clinical manifestations, diagnosis and treatment of paragonimiasis and improve the prevention and treatment of paragonimiasis. Methods The clinical data of patients with paragonimiasis were collected for retrospective analysis. Results A total of 17 cases of paragonimiasis were diagnosed. Among them, 11 cases were mainly clinical manifestations of cough, chest pain and fever, and 13 cases had pleural effusion. Seventeen patients had a peripheral blood eosinophil ratio of 29.9% to 59.3%, and Paragonimus antibodies Ig G (ELISA) were positive. After praziquantel treatment, all patients were cured, followed up for 1 to 2 years without recurrence. Conclusion The clinical manifestation of paragonimiasis is diversified, while the imaging manifestations are more common in pleural effusion. Peripheral blood eosinophilia and Paragonimus antibody examination help to diagnose the disease, praziquantel treatment effect is exact.