鄂西斯氏狸殖吸虫病258例临床分析

对１９８６～２０００年确诊的２５８例斯氏狸殖吸虫病患进行了临床分析。患主要来自湖北西部，各年龄组中１２岁以下占６６．３％，男性多于女性；有食蟹史和饮溪水分别占本病的８８．８％和３．１％；患主要表现为幼虫移行症，皮下包块、胸肺部症状、中枢神经系统症状和消化道症状分别占本病的５５．８％、３８．４％、８．５％、１１．６％；嗜酸性粒细胞增多占８０．４％；诊断主要依据食蟹史和饮溪水史、临床表现以

Clinical Analysis of 258 Cases with Pagumogonimus skrjabini in West of Hubei Province

From 1986 to 2000, two hundred and fifty eight patients with Pagumogonimus skrjabini were analyzed in this papers. The patients came mainly from the west of Hubei Province. Among different age groups, children below twelve took up 66.3% of the patients. This disease was more common among males than that among famales. Those who had a history of ingesting raw or undercooked freshwater crabs and drinking raw water took up 88.8% and 3.1%, respectively. The main manifestations were larva migrans. The patients with symptoms of subcutaneous nodule, thoracopulmonary, abdominal and alimentary canal took up 55.8%, 38.4%, 8.5% and 11.6%, respectively. 80.4% of cases showed eosinophilia. The diagnosis was based mainly on the history of ingesting raw or undercooked freshwater crabs and drinking raw water, the clinical manifestations and immunological test (+). The respective administration of praziquantel, arteunate, bithionol or alternation of praziquantel and arteunate were applied in therapy. The result is satisfactory and the ratio of cure is 95.3%.