粪类圆线虫感染25例临床分析

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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