胸肺型并殖吸虫病早期感染期的诊断

目的：探讨胸肺型并殖吸虫病早期感染期的临床诊断方法。方法：收集永嘉县人民医院2010年1月至2018年6月经临床证实的早期感染期胸肺型并殖吸虫病患者62例，回顾性分析其临床、实验室特点及影像学表现。结果：62例患者中50例首诊主诉有感冒样症状，62例肺吸虫抗体阳性，外周血嗜酸性粒细胞计数（5.51±3.06）×109/L，嗜酸性粒细胞比例35.6%±19.0%，均有不同程度升高，42例肺内病变合并胸腔积液，4例单纯性胸腔积液，16例仅有肺内病变。结论：首诊主诉感冒样症状，血嗜酸性粒细胞升高，结合肺内病灶，需考虑到并殖吸虫病感染的可能性。

Clinical diagnosis in the early stage of infection with paragonimiasis of chest and lung type

Objective: To investigate the clinical diagnosis in the early stage of infection with paragonimiasis of chest and lung type. Methods: Totally 62 cases of paragonimiasis in the early infection stage in Yongjia County People’s Hospital were included in the study. The clinical, laboratory and imaging findings of paragonimiasis were analyzed retrospectively. Results: Out of 62 cases, 50 complained of cold-like symptoms in their first vist, and all 62 had positive paragonimus antibody, with the eosinophil count in peripheral blood (5.51±3.06)×109/L, the proportion of eosinophil 35.6%±19.0%, an increase to a certain extentin the percentage of eosinophilic. 42 cases complicated with pleural effusion, 4 cases of simple pleural effusion, and 16 cases of intra-pulmonary lesions only. Conclusion: The possibility of paragonimiasis infection should be taken into consideration in the first diagnosis of patients with cold-like symptoms, elevated eosinophils and pulmonary lesions.