鄂西斯氏狸殖吸虫病258例临床分析  

Clinical Analysis of 258 Cases with Pagumogonimus skrjabini in West of Hubei Province

作　　者：江雄[1] 樊中丽[1] 望西玉[1] 杜幼芹[1] 

机构地区：[1]湖北三峡学院医学院寄生虫学教研室,湖北宜昌443003

出　　处：《地方病通报》2000年第4期88-89,共2页Endemic Diseases Bulletin

摘　　要：对 198 6～ 2 0 0 0年确诊的 2 5 8例斯氏狸殖吸虫病患者进行了临床分析。患者主要来自湖北西部 ,各年龄组中 12岁以下占 6 6 .3% ,男性多于女性 ;有食蟹史和饮溪水者分别占本病的 88.8%和 3.1% ;患者主要表现为幼虫移行症 ,皮下包块、胸肺部症状、中枢神经系统症状和消化道症状者分别占本病的 5 5 .8%、38.4%、8.5 %、11.6 % ;嗜酸性粒细胞增多者占 80 .4% ;诊断主要依据食蟹史和饮溪水史、临床表现以及免疫学检查阳性 ;治疗主要采用吡喹酮、硫双二氯酚、青蒿琥酯单用或吡喹酮与青蒿琥酯交换用药 ,获得了较好的疗效 ,治愈率达 95 .3%。From 1986 to 2000, two hundred and fifty eight patients with Pagumogonimus skrjabini were analyzed in this papers. The patients came mainly from the west of Hubei Province. Among different age groups, children below twelve took up 66.3% of the patients. This disease was more common among males than that among famales. Those who had a history of ingesting raw or undercooked freshwater crabs and drinking raw water took up 88.8% and 3.1%, respectively. The main manifestations were larva migrans. The patients with symptoms of subcutaneous nodule, thoracopulmonary, abdominal and alimentary canal took up 55.8%, 38.4%, 8.5% and 11.6%, respectively. 80.4% of cases showed eosinophilia. The diagnosis was based mainly on the history of ingesting raw or undercooked freshwater crabs and drinking raw water, the clinical manifestations and immunological test (+). The respective administration of praziquantel, arteunate, bithionol or alternation of praziquantel and arteunate were applied in therapy. The result is satisfactory and the ratio of cure is 95.3%.

关 键 词：斯氏狸殖吸虫病 湖北西部 诊断 治疗 症状 

分 类 号：R532.2[医药卫生—内科学]