5例华支睾吸虫卵空壳的发现与探讨  

Discovery and discussion of 5 cases clonorchis sinensis egg empty shell

作　　者：戴芳[1] 

机构地区：[1]广西中医药大学附属瑞康医院检验科,广西南宁530011

出　　处：《医学检验与临床》2014年第4期39-41,共3页Medical Laboratory Science and Clinics

摘　　要：目的：在受检者大便标本中查找华支睾吸虫空壳,探讨其出现的意义,完善华支睾吸虫生活史.方法：通过大便常规镜检在受检者大便标本中查找华支睾吸虫卵空壳,另选取同期健康体检者30例作正常对照组,对查找到华支睾吸虫卵空壳的患者及健康体检者均检测ALT、AST、TBIL、DBIL、GGT、PA、ALB和E％等肝吸虫病病情诊断指标.结果：在656例找到华支睾吸虫卵的病例中,发现其中5例大便中有华支睾吸虫卵空壳,这5例患者ALT、AST、GGT、PA和ALB的检测结果的均数与正常对照组均数的差异有统计学意义（P＜0.05）.结论：华支睾吸虫虫卵可以在人体内孵出毛蚴,这在华支睾吸虫生活史上是一个新的发现.因此在遇到可疑物时,一定要多次留标本或用多种方法找虫卵,同时查看病人相关的检验指标,只有这样才不会漏检、误诊.Objective ： To seek empty egg shells of Clonorchis sinensis in fecal specimens of subjects, discuss the importance of their occurrence and complete the life history of this species. Methods ： Using stool microscopy, empty egg shells of Clonorchis sinensis in fecal specimens of subjects were searched for, and 30 healthy subjects who did physical examination at the same period were selected as the normal control group; all subjects were subjected to analysis in terms of diagnosis index for hepatic distomiasis, including ALT, AST, TBIL, DBIL, GGT, PA, ALB and E%.Results ： Among 656 cases in which Clonorchis sinensis eggs were found, 5 ones showed empty Clonorchis sinensis egg shells in the stool, and the mean of ALT, AST, GGT, PA and ALB results from them was statistically different from that for the normal control group （P 〈 0.05）. Conclusions ： It is a new discovery in the life history of Clonorchis sinensis that miracidia of this species can hatch from eggs in a human body. When confronted with suspicious things during examination, specimens should be kept and varied ways to finding out eggs should be available, and related test indeces for patients should be reviewed at the same time, because only in this way can missed detection and misdiagnosis be avoided.

关 键 词：肝吸虫病 华支睾吸虫 华支睾吸虫卵 空壳 

分 类 号：R446.132[医药卫生—诊断学]