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旋毛虫病230例临床分析
引用本文:郭子勤 王现亭. 旋毛虫病230例临床分析[J]. 河南医学研究, 1997, 6(2): 137-138
作者姓名:郭子勤 王现亭
作者单位:郑州市第四人民医院,郑州铁路中心医院
摘    要:目的:了解河南省旋毛虫病的临床特征。方法:自1995年12月~1996年3月共诊治旋毛虫病230例。应用间接萤光抗体试验(IFAT)和环蚴沉淀试验(CLPT)阳性确定诊断。结果:患者均有不同程度的发热、全身肌肉疼痛及乏力。有胃肠道症状54例(24.3%),眼睑浮肿78例(33.9%),全身浮肿66例(28.8%),嗜酸粒细胞增高者196例(85.2%)。给予丙硫咪唑治疗,剂量为25mg/kg·d,分2次口服,连服7天为一个疗程,一般1~3个疗程,治愈率100%。结论:对长期发热,全身肌肉疼痛伴嗜酸性粒细胞增多的病人应考虑旋毛虫病的可能。

关 键 词:旋毛虫病;临床分析;丙硫咪唑

Clinical Analysis of 230 Cases with Trichinosis
Guo Zi qin Wang Xian ting Xi Rui et al. Clinical Analysis of 230 Cases with Trichinosis[J]. Henan Medical Research, 1997, 6(2): 137-138
Authors:Guo Zi qin Wang Xian ting Xi Rui et al
Abstract:Objective:In order to know clinical features of trichnosis in Henan Provance from December 1995 to Mach 1996,we had diagnosed and treated 230 cases with trichinosis.Methods:Diagnosis was established by IFAT and CLPT positive reaction.Results:All cases had fever、pain of systemic muscles and tireness in different degrees.Of the 230 patients,196(85.6%) had eosinophlia,54(24.3%) had gastrointestinal symptom,66(28.8%) had general edema and 78(33.9%) had eyelid edema.All cases were given albendazole.The dose is 25 mg/kg·d orally.3 times daily.One course lasted 7 days.Generally one to three courese were needed.Curative rate is 100.0%.Conclusion:Patients with long fever、pain of systemic muscles and eosinophlia should consider of possibility of trichinosis
Keywords:trichinosis  case analysis  albendazole
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