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通过调查1例输入性罗阿丝虫病病例的诊治经过及流行病学史,总结该病及其他输入性热带病的核实诊断、病例管理和应对策略。患者发病前有非洲流行区生活史和斑虻叮咬史,临床表现有皮下游走性包块,并伴有皮肤瘙痒和双眼睑肿胀,实验室班氏丝虫病抗原检测两次阴性。目前多数医院未储备丝虫病的特效治疗药物和特异诊断试剂,建议选择一些定点或专科医院建立特效治疗药物和诊断试剂的储备机制,加强临床医生对罗阿丝虫病及其他热带病的诊治能力和意识,并做好相关人员的健康教育和出国前信息告知,对预防该病具有重要意义。
The diagnosis, case management and coping strategies of this and other imported tropical diseases were summarized by investigating the diagnosis, treatment and epidemiological history of one case of imported Ascaris disease. Before the onset of the disease prevalence in Africa and history of cantharidin bites, clinical manifestations of subcutaneous paroxysmal mass accompanied by pruritus and eyelid swelling, laboratory test for two negative filariasis antigen test. At present, most hospitals do not have any special therapeutic agents and diagnostic reagents for filariasis. It is suggested that some designated or specialized hospitals should set up a reserve mechanism for the treatment of special effects drugs and diagnostic reagents to enhance the diagnosis and treatment of lorazas and other tropical diseases by clinicians Ability and awareness, and do a good job related to health education and information before leaving abroad, to prevent the disease of great significance.