胸肺型并殖吸虫病早期感染期的诊断  

Clinical diagnosis in the early stage of infection with paragonimiasis of chest and lung type

作　　者：谢益兵 洪加林 黄友全 许京轩 陈棋[4] 陈小芳[4] 许崇永[4] XIE Yibing;HONG Jialin;HUANG Youquan;XU Jingxuan;CHEN Qi;CHEN Xiaofang;XU Chongyong(Department of Radiology,Yongjia County People’s Hospital,Wenzhou 325100,China;Department of Inspection Division,Yongjia County People’s Hospital,Wenzhou 325100,China;Department of Respiratory Medicine,Yongjia County People’s Hospital,Wenzhou 325100,China;Department of Image Division,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,China)

机构地区：[1]永嘉县人民医院放射科,浙江温州325100 [2]永嘉县人民医院检验科,浙江温州325100 [3]永嘉县人民医院呼吸内科,浙江温州325100 [4]温州医科大学附属第二医院影像科,浙江温州325027

出　　处：《温州医科大学学报》2020年第1期68-70,共3页Journal of Wenzhou Medical University

摘　　要：目的:探讨胸肺型并殖吸虫病早期感染期的临床诊断方法。方法:收集永嘉县人民医院2010年1月至2018年6月经临床证实的早期感染期胸肺型并殖吸虫病患者62例,回顾性分析其临床、实验室特点及影像学表现。结果:62例患者中50例首诊主诉有感冒样症状,62例肺吸虫抗体阳性,外周血嗜酸性粒细胞计数(5.51±3.06)×10^9/L,嗜酸性粒细胞比例35.6%±19.0%,均有不同程度升高,42例肺内病变合并胸腔积液,4例单纯性胸腔积液,16例仅有肺内病变。结论:首诊主诉感冒样症状,血嗜酸性粒细胞升高,结合肺内病灶,需考虑到并殖吸虫病感染的可能性。Objective:To investigate the clinical diagnosis in the early stage of infection with paragonimiasis of chest and lung type.Methods:Totally 62 cases of paragonimiasis in the early infection stage in Yongjia County People’s Hospital were included in the study.The clinical,laboratory and imaging findings of paragonimiasis were analyzed retrospectively.Results:Out of 62 cases,50 complained of cold-like symptoms in their first vist,and all 62 had positive paragonimus antibody,with the eosinophil count in peripheral blood(5.51±3.06)×10~9/L,the proportion of eosinophil 35.6%±19.0%,an increase to a certain extentin the percentage of eosinophilic.42 cases complicated with pleural effusion,4 cases of simple pleural effusion,and 16 cases of intrapulmonary lesions only.Conclusion:The possibility of paragonimiasis infection should be taken into consideration in the first diagnosis of patients with cold-like symptoms,elevated eosinophils and pulmonary lesions.

关 键 词：并殖吸虫病 胸部疾病 诊断 

分 类 号：R445.4[医药卫生—影像医学与核医学]