| 胸肺型并殖吸虫病临床特征及误诊分析 |
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| 引用本文： | 潘显光,樊毫军,曹霞,陈雪芹.胸肺型并殖吸虫病临床特征及误诊分析[J].武汉大学学报(医学版),2000,21(2):128-129,132. |
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| 作者姓名： | 潘显光 樊毫军 曹霞 陈雪芹 |
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| 作者单位： | 湖北医科大学,附一医院呼吸内科,武汉,430060 |
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| 摘 要： | 目的 :了解胸肺型并殖吸虫病临床特征及误诊原因。方法 :文献复习我院 7例及国内 32 8例胸肺型并殖吸虫病报道 ,统计分析其临床特征及误诊情况。结果 :临床上发热 (6 5 .33% )、盗汗 (36 .2 4% )、咳嗽 (87.11% )、咳铁锈色痰或咯血 (31.6 5 % )胸痛或呼吸困难 (5 2 .10 % )、肺部干湿罗音 (2 5 .0 0 % )为主 ,外周血嗜酸粒细胞多增高 (94.12% ) ,胸片炎性浸润性阴影 (41.5 7% ) ,囊样或结节状影 (14.98% ) ,条索状阴影 (2 0 .5 9% ) ,胸膜肥厚 (6 0 .0 0 % ) ,胸腔积液 (19.6 1% )。误诊率达 39.48% ,其中 5 0 .0 0 %误诊为结核病。结论 :胸肺型并殖吸虫病临床表现复杂 ,极易误诊。
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| 关 键 词： | 并殖吸虫病/病理生理学 误诊 临床研究 |
The Analysis of the Characteristic and Misdiagnosis of Lung-Typed Paragonimiasis |
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| Pan Xianguang,Fan Haojun,Cao Xia,et al.The Analysis of the Characteristic and Misdiagnosis of Lung-Typed Paragonimiasis[J].Medical Journal of Wuhan University,2000,21(2):128-129,132. |
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| Authors: | Pan Xianguang Fan Haojun Cao Xia |
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| Institution: | Pan Xianguang,Fan Haojun,Cao Xia,et al Department of Respiratory Disease,First Affiliated Hospital,Hubei Medical University,Wuhan 430060,China |
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| Abstract: | Objective:To investigate the clinical characteristic and misdiagnosical causes of lung-typed paragonimiasis.Methods:335 cases of lung-typed paragonimiasis' data was statistically analysised.Results:The clinical characteristic includs:fever (65.53%),night sweat (36.24%),cough (87.11%),brown sputum or hemoptysis(31.65%),chest pain or dyspnea(52.10%),rale(25%),eosinophilia(94.12%),infiltrating shadow(41.57%),cystical or node spot(14.98%),striped shadow (20.59%),pleural hypertrophy(60%),pleural effusion(19.61%).Misdiagnosical rate was 39.48%.Conclusion:The clinical appearances of lung type paragonimiasis were so complicated that they were easy to be misdiagnosised. |
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| Keywords: | paragonimiasis/PP diagnostic errors clinical research |
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