华支睾吸虫感染的临床特征分析

目的探讨华支睾吸虫感染者临床表现特征,提高对该寄生虫病诊断和治疗的认识。方法收集2010年住院的906例华支睾吸虫感染者的临床资料,分析其临床特征。结果华支睾吸虫感染者占同期住院患者16.5%,其中男性797例,比例远高于女性（88.0%vs 12.0%）。70.4%患者无明显消化道症状。并发肝胆胰疾病患者总数为220例（24.3%）,以胆石症比例最高（16.0%）,其中胆囊结石伴胆囊炎78例,胆管结石伴胆囊炎67例。粪检虫卵阳性者占90.2%。结论华支睾吸虫感染症状隐匿,与肝胆胰疾病关系密切,粪便反复多次查虫卵简便易行,可作为筛查方法,戒除生食鱼虾习惯对减少感染有重要预防作用。

Clinical characteristics of clonorchiasis.patients

Objective To investigate the clinical characteristics of clonorchiasis patients.Methods The clinical characteristics of 906 inpatients with clonorchiasis treated in our hospital in 2010 were retrospectively analyzed.Results Of the 906 patients,the proportion of males was much higher than that of females（88.0% vs 12.0%）.220 cases（24.3%）had the concomitant hepatopancreatobiliary diseases,and the higest proportion of which is cholelithiasis.Amongst the patients with cholelithiasis,78 cases had gallstone with cholecystitis,67 cases had bilestone with cholecystitis.Conclusions Ptients infected with Clonorchis sinensis were usually asymptomatic and associated with pathogenesis of hepatopancreatobiliary diseases in endemic areas.Stool examination for parasite ova is usually a feasible and effective screening method.To avoid eating uncooked fish and prawn can prevent from Clonorchis sinensis infection.