慢性脑血吸虫病的诊断和治疗（附35例临床分析）

对３５例慢性脑血吸虫病患者的临床、病灶、脑组织活检和ＣＴ资料进行分析。在诊断上，提出临床与ＣＴ检查对本病误诊的原因，强调来自血吸虫疫区或有血吸虫病史，以颅内压增高综合征和癫痫发作为突出表现者，应行血清与脑脊液血吸虫间接血凝试验。在治疗上，因病灶脑组织活检多具有活动性虫卵结节，故对每一病例均应尽早使用杀虫药吡喹酮治疗，若药物治疗后颅内压增高症状仍不能缓解者，则行手术治疗。

Diagnosis and Treatment of Chronic Cerebral Schistosomiasis: An Analysis of 35 cases

We made an analysis of the clinical data of 35 cases with chronic cerebral schistosomiasis, the biopsy of focal brain tissues and the CT scan. After studying the causes of misdiagnoses on the basis of clinical examination and CT scan, we emphasized that it is very imporatnt to perform seral and csfhemoglutination test on patients with intracranial hypertension and epilepsy, who come from schistosomiasis epidemic area or have past hitory of schistosomiasis. Therapeutically, the patients should be given praziquantel as early as possible because of the active granulomatousis revealed by brain biopsy. If the sympton1s of intracranial hypertension cannot be relieved after the treatment of the schistosomacide, surgical intervention is necessary.