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ID:38905718
大小:3.09 MB
页数:68页
时间:2019-06-21
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1、ReviewofintestinalhelminthsAscarislumbricoides(roundworm)似蚓蛔线虫(蛔虫)Trichuristrichiura(whipworm)毛首鞭形线虫(鞭虫)Enterobiusvermicularis(pinworm)蠕形住肠线虫(蛲虫)AncylostomaduodenaleNecatoramericanus(hookworms)钩虫Trichinellaspiralis旋毛形线虫Tissue-blooddwellingnematodes--Filaria
2、丝虫Wuchereriabancrofti班氏吴策线虫Onchocercavolvulus旋盘尾丝虫ThehistoryofTrichinellaspiralisInyear1835,YoungJimPaget,afirstyearmedicalstudentatLondonHospitalMedicalSchool,rushedintotheautopsyroom.The51yr-oldItalianbricklayerwhohaddiedoftuberculosis,andthattheywerenowd
3、issecting,alsohad"sandydiaphragm,"aconditionthatdulledeventhesharpestofscalpels.Well,anyway,whentheyhadallclearedtheroom,Jimquietlystolebackinandremovedasmallbitofmuscletissuefromthediaphragm.Hewasmorethancuriousastothenatureof"sandydiaphragm".Hefirstexamin
4、editwithhistrustyhandlenshecarriedforjustsuchasituation.Hethoughthesawsmallwormscoiledupinsideeachnodule.Uponevenhighermagnification,thepresenceofcoiledwormswasrevealed.(Fromwww.trichinella.org)TrichinellaspiralisJimPagetWormsinthe“sandydiaphragm”Trichinell
5、aspiralisTrichinawormswereobservedinporkin1846byJosephLeidy.Hesavedhundredsoflivesbyrecommendingcookingporkatahighenoughtemperaturetokilltheorganism.Lifecycleworkoutin1850’sByRudolphVirchow.TrichinellacontrolRudolfVirchow(Germany)suggestedmandatorydiagnosis
6、ofallmeatattheslaughterhousesin1877ThishasgreatlyreducedtrichinellosisashumanhealthProblem.WorldwideDistributionParasiticzoonosisFoodborneparasitosisTrichinellaspiralis-cause旋毛虫病trichinosis,trichiniasis,ortrichinelliasisDistributionofTrichinellaspiralisTri
7、chinosisismostcommonintemperateandarcticclimates-highprevalenceinpork-eatingareasoftheworld.arctictemperateAdultsofTrichinellaspiralisAdults:small,1.5~4mmLarva:femalesgivebirthtolarva(Eggs:hatchinuterus子宫)stichosomeHatchedLarva杆状体成虫形态在诊断上无意义!特点:直接产幼虫Encyste
8、dlarva幼虫囊包--infectivestage0.25~0.5mm×0.21~0.42mmLemonshape1~2larvainthecystLifecycleAdultfemaleinmucosaofsmallintestineTrichinacystsinskeletalmuscle骨骼肌Pathogenisis3stages:1.Invasion–1weekfirstsymptomsa
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