摘要
目的:了解胸肺型并殖吸虫病临床特征及误诊原因。方法:文献复习我院7例及国内328例胸肺型并殖吸虫病报道,统计分析其临床特征及误诊情况。结果:临床上发热(65.33%)、盗汗(36.24%)、咳嗽(87.11%)、咳铁锈色痰或咯血(31.65%)胸痛或呼吸困难(52.10%)、肺部干湿罗音(25.00%)为主,外周血嗜酸粒细胞多增高(94.12%),胸片炎性浸润性阴影(41.57%),囊样或结节状影(14.98%),条索状阴影(20.59%),胸膜肥厚(60.00%),胸腔积液(19.61%)。误诊率达39.48%,其中50.00%误诊为结核病。结论:胸肺型并殖吸虫病临床表现复杂,极易误诊。
Objective:To investigate the clinical characteristic and misdiagnosical causes of lung-typed paragonimiasis.Methods:335 cases of lung-typed paragonimiasis'data was statistically analysised.Results:The clinical characteristic includs:fever(65.53%),night sweat(36.24%),cough(87.11%),brown sputum or hemoptysis(31.65%),chest pain or dyspnea(52.10%),rale(25%),eosinophilia(94.12%),infiltrating shadow(41.57%),cystical or node spot(14.98%),striped shadow(20.59%),pleural hypertrophy(60%),pleural effusion(19.61%).Misdiagnosical rate was 39.48%.Conclusion:The clinical appearances of lung type paragonimiasis were so complicated that they were easy to be misdiagnosised.
作者
潘显光
樊毫军
曹霞
陈雪芹
Pan Xianguang;Fan Haojun;Cao Xia(Department of Respiratory Disease,First Affiliated Hospital,Hubei Medical University,Wuhan 430060,China)
关键词
并殖吸虫病
病理生理学
胸肺型
误诊
paragonimiasis/PP
diagnostic errors
clinical research
