儿童肺吸虫病误诊为结核病临床分析

目的探讨儿童肺吸虫病误诊为结核病的临床特征及误诊原因。方法回顾性分析我院近5年来共收治的17例患儿的临床资料。结果本组患儿大多以长期发热、咳嗽、乏力、纳差，体重降低及多浆膜腔积液为主要表现，本组患儿外周血常规嗜酸性细胞分类增高达16倒。结论儿童肺吸虫病常表现为多器官损害，容易误诊为结核病，嗜酸性细胞增高对诊断该病意义较大。

Clinical analysis of paragonimiasis misdiagnosed as tuberculosis in children

Objective To investigate the clinical feature of paragonimiasis and the reason of paragonimiasis misdiagnosed as tuberculosis in children. Methods The clinical data of 17 cases of paragonimiasis were retrospectively summarized. Results The main manifestation of paragonimiasis were fever, cough, debilitation, anorexia and multi-cavity effusion. The eosinophils of 16 cases were obviously elevated. Conclusion Paragonimiasis is tend to cause multi-organ-damage and to be misdiagnose as tuberculosis in children. Elevation of eosinophils is a very important factor for diagnosis.