小儿胸部包虫病的外科治疗(210例临床分析)  

Surgical Treatment of Intrathoracic Echinococcosis in Children(A Report of 210 Cases)

作　　者：吴明拜[1] 钱中希[1] 陈刚[1] 

机构地区：[1]新疆医学院第一附属医院胸外科

出　　处：《新疆医学院学报》1993年第3期233-234,265,共2页

摘　　要：作者报告了1957年6月至1991年12月经手术治疗的小儿胸部包虫病210例,行各种手术治疗235次,手术死亡率0.47％。术后随访200例,与本病无关死亡2例,2例复发(1％)。这些病人的主要临床表现是:在流行区与家畜(犬)有接触史占97.6％。约87.1％有呼吸道症状,9.5％咳出粉皮样物,局部胸廓隆起者占13.3％。皮内过敏试验阳性者占89.9％。经胸部X线、超声检查和皮内Cosoni试验,可确诊胸部包虫病。外科手术是目前唯一选择的有效疗法。The surgical therapy of intrathoracic echinococcosis in 210 children cases from June 1957 to December 1991 was reported. 235 operations were performed on with a mortality of 0.4％. In a follow-up of 200 cases, there were 2 irrelative deaths and 2 recurrences. Main clinical findings of these patients are: history of intimate contacting with dogs (97.6％ of cases), respiratory symptoms (87.1％), coughing and membranous expectoration (9.5％), local bulge of chest wall (13.3％) and a positive Casoni test (89.9％). Diagnosis of intrathoracic echinococcosis might be confirmed by chest X-ray films, sonogram, and Casoni test. Surgical extirpation is the effective treatment of choice.

关 键 词：儿童 胸部包虫病 外科手术 

分 类 号：R726.55[医药卫生—儿科]