208例旋毛虫病的流行病学及临床特征  

THEEPIDEMIOLOGICALANDCLINICALFEATURESOF208PATIENTSWITHTRICHINOSIS

作　　者：王中全[1] 崔晶[1] 晋雪香[1] 武峰[1] 毛福荣[1] 

机构地区：[1]河南医科大学寄生虫学教研室

出　　处：《中华内科杂志》1996年第6期385-388,共4页Chinese Journal of Internal Medicine

摘　　要：为了解旋毛虫病的流行病学及临床特征，对１９９２～１９９４年就诊的２０８例旋毛虫病例进行了分析。结果表明，患者来自河南１１个地区，主要因尝生猪肉饺子馅、食涮猪肉或羊肉而感染。冬季为本病的高发季节。发病年龄以青壮年占多数，男性多于女性，工人和干部发病率最高。长期发热、全身肌痛、乏力及嗜酸性粒细胞增多为本病的主要表现，仅少数患者有胃肠道症状和皮疹。眼睑水肿仅见于发病早期。血清学检查对诊断本病有重要意义。预防本病的关键是加强肉检和改变不良的饮食习惯。Inordertoknowtheepidemiologicalandclinicalfeaturesoftrichinosis,thedataof208patientswithtrichinosisfrom1992to1994wereanalysed.Theresultsshowedthatthesepatientscamefrom11districts,andacquiredtheinfectionmainlybytastingtherawporkfilingfordumplingsorin-gestinginstant-boiledporkormuton.Theincidenceoftrichinosisishighinwinter.Youngandmiddle-agedworkersandcadresconstitutedthemajorityofthepatientsandtheinfectionwasmorecommoninthemalesthaninfemales.Themainclinicalmanifestationsoftrichinosiswereprolongedfever,generalmyalgia,muscleweeknessandeosinophilia.Mostofthepatientshadnogastrointestinalsymptomsandskineruption.Eyelidedemawasonlyseenintheearlystage.Serologicaltestsweresignificantvalueinthediagnosisoftrichinosis.Thekeymeasurestopreventtrichinosiswerethatmeatinspectionshouldbestrictlycariedoutandbadeatinghabitchanged.

关 键 词：旋毛线虫病 流行病学 

分 类 号：R532.140.1[医药卫生—内科学]