1 102例晚期血吸虫病患者诊治情况及存在问题分析  

A CLINICAL AND PATHOLOGICAL STUDY ON 1 102 CASES OF HOSPITALIZED PATIENTS WITH ADVANCED SCHISTOSOMIASIS

作　　者：桂稀恩[1] 高世成[1] 骆名其[1] 张卫[1] 叶德斌[1] 郑齐超[1] 

机构地区：[1]湖北医科大学附属第二医院,武汉430071

出　　处：《中国血吸虫病防治杂志》1997年第3期146-149,共4页Chinese Journal of Schistosomiasis Control

摘　　要：本文调查住院晚期血吸虫病（以下简称晚血）患者1102例，其中巨脾型575例（52．2％），腹水型346例（31．4％）。肝组织病理检查表明，巨脾型误诊率达21．7％（48／221），肝炎肝硬化是主要误诊疾病。晚血最常见并发症为上消化道出血（24．3％），其次是原发性肝癌等恶性疾病（5％），以及肝功能衰竭（4.9％）和肺结核（2．3％）等。住院晚血患者作手术治疗者占28．5％，病原治疗者占23．7％。随访观察表明，晚血病死率脾切除患者（16．4％）显著低于腹水型患者（54．2％）。调查结果表明，提高晚血诊断水平、改进治疗方法并对患者进行规范化管理非常必要。One thousand one hundred and two cases of hospitalized patients with advanced schisto somiasis(AS) were analysed. Five hundred and seventy-five cases were huge splenomegaly type (52. 2% ) and three hundred and forty-six were ascites type (31. 4% ). The liver patho logical study showed that the misdiagnosis rate was 21. 7% (48/221 ) in splenomegaly type.Hepatitis-cirrhosis was the leading cause of misdiagnosis.The cdmplications were upper gastrointestinal bleeding (24. 3% ), malignant diseases (5. 0% ),hepatic failure (4.9 % ) and pulmonary tuberculosis (2. 3 % ),Twenty-eight point five pescent of the patients had a surgical treatment and 23. 7% of the patients were treated with praziquantel. The mortality of patients of As with ascites was 54. 2%, which was significantly higher than that of patients who had been treated with splenectomy (16. 5 %,P<0.01).The results suggested that it is necessary to improve the diagnosis,treatment and man agement of patients with AS.

关 键 词：晚期血吸虫病 诊断 并发症 预后 

分 类 号：R532.2[医药卫生—内科学]