论文部分内容阅读
目的 分析华支睾吸虫病病例的临床特征, 探讨华支睾吸虫病误诊的原因, 提高华支睾吸虫病诊疗水平.方法对15例华支睾吸虫病病例的临床资料进行回顾性分析.结果 共确诊华支睾吸虫病病例15例, 其中聚集性病例5例, 其他为散发.病例均为成年人, 年龄26～57岁, 以公务人员为主 (73. 33％);感染地分布为宁化26. 67％, 广西53. 33％, 广东20. 00％;病例均有食生鱼片史, 末梢血中嗜酸性粒细胞计数 (EOS) 均明显升高;院外误诊12例, 误诊率80. 00％.结论 福建省华支睾吸虫病病例主要散发, 临床表现多样化, 末梢血中嗜酸性粒细胞增多及食鱼生史有助于此病诊断, 确诊需找到病原.“,”Objective To analyze the clinical characteristics of clonorchiasis sinensis cases, to explore the causes of misdiagnosis of clonorchiasis sinensis, and to improve diagnosis and treatment of clonorchiasis sinensis. Methods The clinical data of 15 cases of clonorchiasis were retrospectively analyzed. Results A total of 15 cases of clonorchiasis sinensis were diagnosed, among which 5 cases were clustered and others were sporadic. All the patients were adults, aged 26 ～ 57 years, mainly civil servants (73. 33％). The infection was distributed in Ninghua (26. 67％), Guangxi (53. 33％) and Guangdong (20. 00％). All patients had a history of eating sashimi. The eosinophil count (EOS) in peripheral blood was significantly increased. Twelve cases were misdiagnosed outside the hospital, and the misdiagnosis rate was 80. 00％. Conclusion Clonorchiasis sinensis cases in Fujian Province are mainly sporadic, with diversified clinical manifestations. Eosinophilic granulocytosis in peripheral blood and the history of eating sashimi are helpful to the diagnosis of the disease. The pathogen should be found in the final diagnosis.