并殖吸虫性胸腔积液181例临床分析

对181例有胸腔积液的并殖吸虫病患者临床资料进行分析。患者胸水均为渗出性,双侧胸腔积液35例,右侧胸腔积液89例,左侧胸腔积液57例,胸水呈草黄色117例,血性41例,胸膜改变109例,肺纹理增粗或紊乱97例。87.3%(158例)患者有食溪蟹、饮溪水史。病例均采用吡喹酮治疗,25mg/kg体重,3次/d,口服,5d为一疗程。大量胸腔积液患者加抽胸水,配合抗炎及肾上腺皮质激素治疗,1～2月内患者临床症状消失,胸腔积液消退。

Analysis on 181 pleural effusion cases with Paragonimus infection

To analyze the clinical data of 181 paragonimiasis with pleural effusion.This pleural effusion was an exudate,35 cases of bilateral pleural effusion,89 cases of right-sided pleural effusion,57 cases of left-sided pleural effusion.The patients of yellow grass pleural effusion and bloody hydrothorax were 117 and 41 cases respectively.109 cases had pleura-based lesions,97 cases had lung texture augmentation or disorder.87.3%(158 cases) of the patients were in the habit of eating raw Potamon denticulate or drinking of unboiled water.All of patients were treated with praziquantel in doses of 25 mg/kg body weight,3/d,5 days a course of treatment.For the patients with a great quantity effusion,this fluid was removed from the pleural space and combined with anti-inflammatory and adrenocortical hormone therapy.Clinical feature and pleural effusion of the patients disappeared within 1 to 2 months.