摘要
目的分析本地感染包虫病的临床特征,提高对包虫病的认识。方法对2012-01/2016-02住院的5例包虫病患者的临床资料进行回顾性分析。结果 5例患者均青少年,来自绵阳本地,无疫区生活史和食用生肉史,但有犬类接触史。主要表现为右上腹胀痛、乏力和脑部转移症状。血常规均正常,肝功轻度损害3例,包虫抗体阳性3例。影像学检查发现占位病变,病灶位于肝右叶、肺部和脑部。单个囊肿1例,多个囊肿4例,单一囊肿最大直径>10cm者1例。5例患者均采取手术治疗,术后常规服用阿苯达唑。随访1年,死亡1例,复发1例。结论非流行区医务人员要加强对该病的认识。
Objective To analyze the clinical characteristics of local hydatidosis cases in order to improve the awareness of the disease. Methods The clinical data of five patients with hepatic hydatidosis treated between January 2012 and February 2016 were analyzed retros from Mianyang. None of them had a history of living pectiv in epi ely. Results All of the five patients were teenagers demic areas or eating raw meat, but all of them had a clear dog contact history. The main manifestations Symptoms included the right upper quadrant pain, fatigue and symptoms of brain metastasis. The blood routine tests were all normal. Three patients had mild hepatic dysfunction and three had hydatid antibodies. Occupational lesions were found in radiological examinations, and the foci were located in right hepatic lobes, lungs and brain. One patient had a single cyst and the other four had multiple cysts. Single cysts with a maximum diameter 〉 10 cm were found in one patient. All of the five patients received surgical treatment and took albendazol after surgical treatment. Follow up for one year showed death of one patient and recurrent in one patient. Conclusion Medical staff in non - epidemic regions should enhance awareness of the disease.
出处
《预防医学情报杂志》
CAS
2018年第1期41-43,共3页
Journal of Preventive Medicine Information
关键词
包虫病
非流行区
临床分析
hydatidosis
non - epidemic region
clinical analysis
