摘要
目的:分析儿童并殖吸虫病的临床特征,提高临床诊治水平,减少误诊。方法:回顾性分析我院2001年至今收治的16例儿童并殖吸虫病患者的临床资料。16例确诊儿童并殖吸虫病患者,分析其流行病学史、临床表现、实验室检查及诊疗情况。结果:13例来自农村,3例来自城镇,男孩12例,女孩4例,其中9例有明确生食溪蟹病史,7例不详。并殖肺吸虫病患儿表现为混合型10例,皮下结节型4例,胸肺型1例,心包炎型1例。15例周围血嗜酸性粒细胞持续增高,16例行肺吸虫抗原对流免疫电泳试验均阳性,并排除其它寄生虫病。12例入院时误诊。所有患者在支持、对症治疗的基础上予病原治疗,治愈4例,好转7例,确诊后带药出院5例。结论:儿童并殖吸虫病临床表现复杂多样、多不典型,临床易误诊误治;随着饮食方式的改变和人们生活水平的提高,城市居住儿童有增多趋势,尤其学龄儿童。对怀疑并殖吸虫病患儿应详细询问患者的流行病学史,临床表现,行病原学等相关检查,进行综合分析,早期确诊,减少误诊,指导治疗。
Objective：To analyze clinical characteristics of paragonimiasis in children and provide references for clinician.Methods：Clinical data of paragonimiasis in 16 children in our hospital were been analyzed,including the epidemiology,clinical manifestation,laboratory data,treatment and prognosis.Results：Thirteen cases came from rural areas,3 cases from the cities and towns;there were 12 boys and 4 girls;9 of them had a clear history of eating raw river crab,7 cases unknown.Paragonimus child patients showed mixed type in 10 cases,subcutaneous nodule type in 4 cases,chest type in 1 case,and pericarditis type in 1 case.Peripheral blood eosinophils in 15 cases continued to increase.Regular lung fluke antigen counter immunoelectrophoretic tests in 16 cases were positive,and other parasitic diseases were excluded.12 cases of misdiagnosis at admission.After all patients were received symptomatic treatment for the pathogen on the basis of treatment,4 cases were cured,7 cases were improved,and 5 cases were discharged from hospital with drugs after diagnosis.Conlusions：Clinical manifestations of paragonimiasis in Children were complex,diverse,and multi-atypical,and it＇s always misdiagnosed clinically;With the change of diets and people＇s living standards,there is a growing trend of urban children with paragonimiasis,especially school-age children.Child patients suspected of paragonimus patients should be asked in detail about the epidemiological history,clinical manifestations,etiology and other related examination,and thus a comprehensive analysis should be made for early diagnosis to reduce misdiagnosis and guide treatment.
出处
《激光杂志》
CAS
CSCD
北大核心
2010年第2期91-92,共2页
Laser Journal
关键词
并殖吸虫
全身性
临床表现
误诊
儿童
paragonimiasis
systemic
clinical manifestation
misdiagnosis
children
