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儿童肺吸虫感染所致多浆膜腔积液和肺吸虫脑病九例临床分析
引用本文:郑仰明,张海邻,李昌崇.儿童肺吸虫感染所致多浆膜腔积液和肺吸虫脑病九例临床分析[J].中国全科医学,2010,13(4):443-445.
作者姓名:郑仰明  张海邻  李昌崇
作者单位:浙江省呼吸疾病诊疗中心,温州医学院附属育英儿童医院呼吸科,浙江省温州市,325027
摘    要:目的分析儿童肺吸虫病的临床表现,以提高临床诊治水平。方法回顾2000—2008年在我院确诊的9例肺吸虫患儿,分析其病史、临床表现、实验室检查及诊疗情况。结果7例为多浆膜腔积液,表现为不同程度的胸腔积液、腹腔积液,5例合并不同程度的心包积液。1例为肺吸虫脑病,1例同时存在多浆膜腔积液和肺吸虫脑病,9例外周血嗜酸粒细胞增高,5例血清IgE检测均明显高于正常,6例行肺吸虫抗原皮试阳性,3例肺吸虫血清抗体阳性。结论小儿肺吸虫病临床表现复杂,应注意询问生食溪蟹或蝲蛄病史,结合患儿临床表现、血嗜酸粒细胞增多、肺吸虫抗原皮试明确诊断以免误诊。

关 键 词:肺吸虫病  多浆膜腔积液  儿童

Polyserositis and Cerebral Paragonimiasis Caused by Paragonimus Infection in Children:A clinical analysis of 9 cases
ZHENG Yang-ming,ZHANG Hai-lin,LI Chang-chong.Polyserositis and Cerebral Paragonimiasis Caused by Paragonimus Infection in Children:A clinical analysis of 9 cases[J].Chinese General Practice,2010,13(4):443-445.
Authors:ZHENG Yang-ming  ZHANG Hai-lin  LI Chang-chong
Institution:ZHENG+Yang-ming,ZHANG+Hai-lin,LI+Chang-chong.Department+of+Respiratory+Medicine,Yuying+Children%5c's+Hospital+Affiliated+to+Wenzhou+Medical+College,Wenzhou+325027,China
Abstract:Objective To analyze the clinical manifestations of children's paragonimiasis in order to enhance the level of clinical diagnosis and treatment.Methods The medical history,clinical manifestations,results of laboratory examination,conditions of diagnosis and treatment of 9 confirmed patients with paragonimiasis from 2000 to 2008 in our hospital were retrospectively analyzed.Results There were 7 cases of polyserositis such as pleural effusion and ascites in a different degrees,5 cases complicated by pericardi...
Keywords:Paragonimus  Polyserositis  Child
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