小儿肝包虫病诊治分析(附86例报告)

目的探讨小儿肝包虫病的诊断与治疗及并发症的处理。方法回顾性分析我院近十年来收治的小儿肝包虫患者86例的临床资料。结果年龄最小的2岁，最大的15岁，男性52例，女性34例，以牧业为主的哈萨克族和蒙古族的发病比例最高，占同期收治包虫患者24％．占肝包虫病组的65．1％，其中肝包虫破裂12例。所有的患儿均进行了手术治疗．对多发性肝包虫病和肝包虫破裂患儿术后给予口服吡喹酮治疗。痊愈78例，死亡3例，均为肝包虫破裂患儿，死亡率3A％，复发5例．复发率5．8％。结论多数小儿肝包虫病患者表现为全身营养不良和贫血，合并破裂较成人高，破裂后导致严重的并发症。应对牧区人员加强普查，一旦发现及时手术治疗。

The Diagnostic And Therapeutic Experience of 86 Pediatric Patients With Echinococciasis of Liver

Objective To explore the diagnosis disease of liver and management of complications. and treatment of pediatric patients with hydatid Methods A retrospective analysis was made on the clinical data of 86 cases of pediatric hydatid disease of liver. Results Among the patients, the youngest was two years of age and the oldest 15 years. 52 of them were males and 34 females, of the 86 cases,the Kazak and the Mongolian nationality children who lived in the pastoral area had the highest morbidity,they accounted for 24% of all treated patients with hydatid disease, accounted for 65.1% of all patients with echinococciasis of liver in the corresponding period, 12 cases of them occurred rupture of hydatid of liver.All the sick children were treated with operation.Pyquiton was given in the patients with multiple hydatid disease of liver or rupture of hydatid disease of liver after the operation.As a result, 78 patients were cured.Postoperatively, there were 5 cases of recurrence, relapse rate was 5.8%. 3 cases died from rupture of liver hydatid, the mortality was 3.4%. Conclusions Most of the pediatric patients with hydatid disease of liver had long history of contacting with dogs and had malnutrition or anaemia etc symptoms. Because physiologyical feature, risk of rupture of liver hydatid in the children is highter than that in adults,and rupture of liver hydatid easy leads to occur severe comptications.So echinococcosis in the pastoral area residents should intensively be monitored,once the patients with echinococcosis were detected out,they should timely be treated with operation.