122例CT疑为囊虫病或钩端螺旋体病的实验室检查结果分析  

SEROLOGICAL INVESTIGATION ON 122 PATIENTS OF CT-SUSPECTED CYSTI-CEROSIS OR LEPTOSPIROSIS

作　　者：李英欣[1] 蒋惠荷[1] 闫胜利[2] 吴俊英[1] 蒋闺臣[1] 

机构地区：[1]蚌埠医学院临床微生物免疫教研室,蚌埠233003 [2]蚌埠第二人民医院CT室

出　　处：《中国人兽共患病杂志》1999年第6期65-66,共2页Chinese Journal of Zoonoses

摘　　要：目的　报道１２２ 例由ＣＴ头颅轴位扫描疑为囊虫病的患者，通过进行血清学检查，进一学确诊定为是囊虫病抑或是钩端螺旋体病。方法　采用显微镜凝集试验（ＭＡＴ）和酶联免疫吸附试验（ＥＬＩＳＡ）。结果　确诊６６ 例囊虫病，５１例钩端螺旋体病，两者完全阴性５例。结论　不典型病例，仅藉ＣＴ是不能确诊为囊虫病还是钩端螺旋体病的。因两者致病后临床症状有类似之处，早期感染ＣＴ表现也有相同。必须进行血清学检查。Aim\ After serological examination,a further distinction has been made as to Leptospirosis and cysticercosis.Methods\ ELISA and MAT was used for the examination.The MAT value over 1∶200 is identified as positive.Culture of Leptospire and it's lstyle:Result may be observed after 48 hours culture of L style at 28℃.the giant and strong styles may also be observed after 72 hours.Negative and positive contrast is set up for each ELISA examination.The basic identification of developed colour and positive contrastive hole suggests positivty.Results\ 66 cases of cysticercois and 51 cases of leptospirosis were identified.The detected rates are 51.0% and 41.90% cysticercosis.Only 5 cases were negative to both accouting for 4.0% of the total number.Conclusion\ The clinical symptoms of the two diseases are to some extent alike and their early infectious features are also similar on CT.So a serological examination is absolutely necessary for a definite disgnosis.

关 键 词：钩端螺旋体病 脑囊虫病 CT 实验室诊断 

分 类 号：R532.330.4[医药卫生—内科学] R514.404[医药卫生—临床医学]