胆囊切除术后1例华支睾吸虫病诊断分析  

Analysis report of Clonorchiasis sinensis diagnosed after cholecystectomy

作　　者：贾秀云 于敏丽 JIA Xiu-yun;YU Min-li(Panjin Liaohe Oilfield Gem Flower Hospital,Panjin 124010,China)

机构地区：[1]盘锦辽油宝石花医院,辽宁盘锦124010

出　　处：《中华卫生杀虫药械》2020年第6期563-565,共3页Chinese Journal of Hygienic Insecticides and Equipments

基　　金：国家重大传染病防治科技重大专项项目(编号:ZX10004209)。

摘　　要：目的分析1例行胆囊切除术后诊断为华支睾吸虫病患者的临床及实验室资料,探讨肝吸虫病胆囊病变的特征,减少漏诊和误诊。方法回顾性分析病例的流行病学史、临床症状、实验室病原学检测结果。结果患者有长期食鱼生史,出现胆囊肿大和胆总管扩张体征,经B超检测确诊为继发性胆总管结石后行胆囊切除,T管引流液中发现瓜子样虫体,胆汁离心镜检查出多个华支睾吸虫虫卵。qPCR检测结果为华支睾吸虫感染,给予患者阿苯达唑驱虫治疗后病情得以转归。结论收治不明原因胆囊炎、胆管结石并有生食淡水鱼患者时,要警惕华支睾吸虫病的鉴别诊断。Objective To analyze the clinical and laboratory data of one patient diagnosed with Clonorchiasis sinensis after cholecystectomy,and to explore characteristics of the gallbladder lesions of liver fluke in order to reduce missed diagnosis and misdiagnosis.Methods The epidemiological history,clinical symptoms,laboratory serology,and pathogenic test results of the case were retrospectively analyzed.Results The patient had a long history of fish-eating and showed signs of gallbladder enlargement and common bile duct expansion.After the diagnosis of secondary choledocholithiasis by ultrasonography,cholecystectomy was performed.Melon seed-like imagoes were found in the drainage of T tube,and a number of Clonorchis sinensis eggs were detected by bile centrifugation.The result of qPCR indicated Clonorchis sinensis infection,and the patient’s condition was reverted after being treated with albendazole.Conclusion When treating patients with history of unexplained cholecystitis and bile duct stones and raw freshwater fish,the differential diagnosis of Clonorchiasis sinensis needed vigilance.

关 键 词：华支睾吸虫病 病原学检测 阿苯达唑 

分 类 号：S852.735[农业科学—基础兽医学] R183.5[农业科学—兽医学]