输入性曼氏血吸虫病临床分析  

Clinical analysis of imported Schistosoma mansoni infections:a report of two cases and review of the literature

作　　者：邹洋[1] 齐志群[1] 冯曼玲[1] 王非[1] 李威[1] 栗绍刚[1] 许炽熛[1] 谷俊朝[1] 

机构地区：[1]首都医科大学附属北京友谊医院北京热带医学研究所,北京100050

出　　处：《中国热带医学》2011年第2期250-252,共3页China Tropical Medicine

摘　　要：目的提高对曼氏血吸虫病的临床诊断认识,减少误诊误治。方法报道2例曼氏血吸虫感染,并结合国内外文献报道的临床资料进行分析。结果曼氏血吸虫病是一种输入性血吸虫病,其可引起发热,胃肠道症状等急性血吸虫病的临床表现,确诊主要依据粪检或直肠黏膜活检找到曼氏血吸虫卵,吡喹酮等药驱虫治疗对大多数患者有效。结论对不明原因的发热,胃肠道综合征等的患者,在治疗效果不佳,且以常见病难以解释时,要注意询问患者的流行病学史,减少误诊误治。Aim To analyze the clinical features of Schistosoma mansoni infections.Methods Two cases infected with Schistosoma mansoni were reported and the clinical features of schistosomiasis were discussed.Results Schistosoma mansoni infection mostly was a kind of imported schistosomiasis.The symptoms were severe,with different manifestations such as fever,gastro-intestinal symptoms.Final diagnosis was made by the presence of Schistosoma mansoni in stool samples or secretions from intestinal tract.Conclusion In patients with unexplained fever,gastro-intestinal symptoms or that do not respond to ordinary therapy,rare pathogens such as Schistosoma mansoni need to be considered.Praziquantel is currently the drug of choice for the treatment of schistosomiasis.

关 键 词：血吸虫病 曼氏血吸虫 发热 胃肠道症状 流行病学 吡喹酮 

分 类 号：R532.21[医药卫生—内科学]