肝裂头蚴病1例报告  

HEPATIC SPARGANOSIS:A CASE REPORT

作　　者：赵泽华 樊巍巍[1] 汪东文[1] ZHAO Ze-hua;FAN Wei-wei;WANG Dong-wen(Department of Surgery 1,Hunan Armed Police Corps Hospital,Changsha 410000,Hunan,China)

机构地区：[1]武警湖南总队医院外一科,长沙410000

出　　处：《寄生虫与医学昆虫学报》2023年第4期242-244,共3页Acta Parasitologica et Medica Entomologica Sinica

摘　　要：武警湖南总队医院于2022年10月26日收治1例25岁男性“肝裂头蚴病”患者。患者因“上腹持续性疼痛1天”入院,自诉1月前游泳有误吞河水经历。入院后查体:右下腹有压痛、反跳痛,肝区叩痛,实验室检查寄生虫全套结果示:裂头蚴IgG抗体阳性。结合影像学检查、血清实验室检查及流行病学史,考虑诊断为“肝裂头蚴病”。予以抗感染、全身驱虫治疗,20日后复查腹部增强CT肝内病灶较前明显缩小,血常规正常,患者症状完全消失。On October 26,2022,Hunan Armed Police Corps Hospital admitted a 25-year-old male patient with"hepatic sparganosis".The patient was admitted to the hospital for"persistent pain in the upper abdomen for 1 day",and described having swallowed river water while swimming a month prior.Physical examination revealed tenderness and rebound pain in the right lower abdomen,and percussion pain in the liver area.A full-panel antibody test for parasites revealed positivity for schizocephala-specific IgG.Combined imaging results,serum laboratory examination and exposure history,a diagnosis of"hepatic sparganosis"was supported.Twenty days after anti-infection and whole-body deworming treatment,liver lesions observed by abdominal enhanced CT were significantly reduced,routine blood panel was recovery,and the patient's symptoms completely disappeared.

关 键 词：裂头蚴 肝裂头蚴病 病例报告 

分 类 号：R532.31[医药卫生—内科学]