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ID:33537007
大小:78.00 KB
页数:7页
时间:2019-02-26
《粪类圆线虫感染25例临床分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、粪类圆线虫感染25例临床分析胡缨1*,谢周华2,李艳文3(1.广西医科大学第一附属医院检验科,广西南宁530021;2.广西南宁市第四人民医院结核科三病区,广西南宁530023;3.广西医科大学寄生虫学教研室,广西南宁530021)【摘要】目的:探讨粪类圆线虫感染的临床特点及诊治方法。方法:对近年我院收治的25例确诊为粪类圆线虫感染的临床资料进行回顾性分析。结果:大多患者有消化道和呼吸道症状:腹痛18例,腹泻16例,咳嗽15例。患者标本中查见粪类圆线虫杆状蚴或丝状蚴。辅助检查中,66.00%患者血红蛋白
2、降低,68.00%患者白细胞总数轻度升高,64.00%患者嗜酸性粒细胞升高,52.00%患者谷氨酰转移酶增高。经阿苯达唑治疗一疗程,大多患者症状缓解,7天后重复一疗程,全部治愈,停药1周后复查均无复发,随访3个月亦无复发。结论:对于有土壤接触史且同时有消化道和呼吸道症状的病患,当常规治疗效果欠佳时,应考虑该虫感染的可能,配合使用离心沉淀法与碘液染色法是确诊简单有效的途径。阿苯达唑治疗效果良好。【关键词】粪类圆线虫;感染;患者ClinicalAnalysisof25Caseswithstrongyloid
3、esstercoralisInfectionHUYing1,XieZhou-hua2,LUZuo-chao3(1.DepartmentofClinicalLaboratoryFirstAffiliatedHospitalofGuangxiMedicalUniversity,Nanning530021,China;2ThirdWard,FourthPeople'sHospitalofGuangxiNanningtuberculosisBranch;3.DepartmentofParasitology,Gu
4、angxiMedicalUniversity)【Abstract】ObjectiveToinvestigatetheclinicalcharacteristicsandapproachestodiagnosisandtreatment.MethodsTheclinicaldataof25casesadmittedinto7ourhospitalintherecentyearsandconfirmedasstrongyloidesstercoralisinfectionwasretrospectively
5、analyzed.ResultsMostofthepatientspresentedalimentaryandrespiratorysymptoms:abdominalpain(18cases),diarrhea(16cases),cough(15cases).strongyloidesstercoralisrhabditiformlarvaeorilariformlarvaewerefoundinthepatients’specimens.Decreasedhemoglobinwasdetectedi
6、n66.00%ofthegroup,elevationofwhitebloodcellsandeosinophilicgranulocytesin68.00%and64.00%respectively,52.00%infectedpatients’levelofglutamyltransferase(GGT)waselevated.Mostofthepatients’symptomswerealleviatedafteronecourseofalbendazole.Allofthepatientswer
7、ecuredafteranothercourse7dayslater.Norecurrencehappenedoneweekafterceaseofmedicineandduring3monthsoffollow-up.ConclusionStrongyloidesstercoralisinfectionshouldbesuspectedwhenconventionaltherapydoesn’tmakegoodresultsonapatientpresentingalimentaryandrespir
8、atorysymptomsandwithahistoryofsoilcontaction.Itisasimpleandeffectivewaytomakediagnosiscombiningcentrifugalsedimentationandiodinedyingmethods.Albendazoleiseffectivetotreatthisdisease.【Keywords】Strongyloidesstercoralis;Infec
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