云南宾川县1例肺包虫病报告

目的 通过报道宾川县首例肺包虫病病例的诊疗经过,提醒当地医务人员要提高对包虫病的认识,提升诊断能力,积累经验,更好地为患者服务。方法 描述宾川县首例肺包虫病患者的就诊经历,回顾患者从县级医院到市级医院的就诊过程,记录患者在县级医院和市级医院分别接受的检查和治疗,分析两级医院的诊断思路和诊断意见,并在患者出院15 d后,对其进行随访,同时开展了个案调查。结果 云南省宾川县存在肺包虫病病例,由于以前本地没有见过病例报道,所以患者和当地医务人员均对本病认识不足,重视不足,误诊和漏诊现象时有发生;本病例几经周折,最后在大理州医院得到有效的手术治疗,并为了预防复发,即时开展了病原学治疗,术后15 d患者痊愈出院,出院15 d后开展了个案调查,经过分析,认为本例患者可能为本地感染病例。结论 术后进行规范的病原学治疗,可预防继发性感染;及时开展流行病学调查,可为下一步的防治工作提供依据。

A case report of pulmonary echinococcosis in Binchuan County,Yunnan

Objective By reporting the diagnosis and treatment of the first case of pulmonary echinococcosis in Binchuan County, the local medical staff was reminded to improve their understanding of echinococcosis, improve their diagnostic ability, accumulated diagnosis and treatment experience, and better serve patients. Methods Describe the experience of the first patients with pulmonary hydatid disease in Binchuan County, review the patient's visit from the county hospital to the municipal hospital, record the examination and treatment of the patients in the county hospital and the municipal hospital, and analyze the two-level hospital. The diagnosis and diagnosis were diagnosed, and the patients were followed up 15 days after discharge, and a case study was conducted. Results There are cases of pulmonary echinococcosis in Binchuan County, Yunnan Province. Because there have been no cases reported in the past, the local medical staff have insufficient knowledge of the disease, and the lack of attention, misdiagnosis and missed diagnosis have occurred. After the twists and turns, I finally got effective surgical treatment in Dali Prefecture Hospital, and in order to prevent recurrence, I immediately carried out pathogenic treatment. After 15 days, the patient was cured and discharged. After 15 days of discharge, a case investigation was conducted. After analysis, it is considered that this patient may be Local infections. Conclusions The standardized pathogenic treatment after surgery can prevent secondary infections; timely epidemiological investigation can provide a basis for the next step of prevention and treatment.