[1]宁金波,刘 渝.三峡库区渝东北地区肺吸虫病外科住院患儿临床特点分析[J].医学信息,2020,33(17):134-136.[doi:10.3969/j.issn.1006-1959.2020.17.038]
　NING Jin-bo,LIU Yu.Analysis of Clinical Characteristics of Inpatients with Paragonimiasis Surgery in the Three Gorges Reservoir Area in Northeast Chongqing[J].Medical Information,2020,33(17):134-136.[doi:10.3969/j.issn.1006-1959.2020.17.038]
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三峡库区渝东北地区肺吸虫病外科住院患儿临床特点分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年17期
页码:
134-136
栏目:
调查分析
出版日期:
2020-09-01

文章信息/Info

Title:
Analysis of Clinical Characteristics of Inpatients with Paragonimiasis Surgery in the Three Gorges Reservoir Area in Northeast Chongqing
文章编号:
1006-1959（2020）17-0134-03
作者:
宁金波; 刘 渝
（重庆大学附属三峡医院儿科，重庆 404000）
Author(s):
NING Jin-bo; LIU Yu
(Department of Pediatrics,Three Gorges Hospital,Chongqing University,Chongqing 404000,China)
关键词:
三峡库区; 肺吸虫病; 儿童; 疾病特点
Keywords:
Three Gorges Reservoir Area; Paragonimiasis; Children; Disease characteristics
分类号:
R532.2
DOI:
10.3969/j.issn.1006-1959.2020.17.038
文献标志码:
A
摘要:
目的 分析三峡库区渝东北地区肺吸虫病外科住院患儿的临床特点，提高临床医务工作者对肺吸虫病认识，对防治工作提供建议。方法 从电子病例系统调取2015年1月1日~2019年12月30日我院儿外科收治的本地区肺吸虫病患儿病例资料，记录性别、年龄、常住址等人口学资料，分析其流行病学接触史、临床表现、主要病变部位以及嗜酸性粒细胞、肺吸虫抗体等实验室检查结果。结果 ①共收集105例患儿资料，其中男74例，女31例，常住址均位于长江干支流流域，99例为乡村，72例（68.6%）患儿有明确生食淡水蟹病史；②患者临床表现主要为体表包块、咳嗽、乏力、胸痛、呼吸困难、腹痛腹胀、头痛、抽搐、偏瘫、发热等，病变侵犯部位包括胸腔、肺、心包、多浆膜腔、脑等；③患者吸虫抗体阳性79例（75.24%），血嗜酸性粒细胞百分比及绝对计数升高共82 例（78.10%），另有20例（19.05%）患儿入院时比例不高，术后或加用吡喹酮治疗后升高；④43例（40.95%）患儿接受胸腔镜辅助胸腔积液清除引流术，25例（23.81%）接受胸腔镜辅助心包开窗引流术，28例（26.67%）接受脑血肿或脑脓肿清除术，9例（8.57%）未行手术治疗，所有患者均口服吡喹酮治疗。结论 本地区肺吸虫病外科住院患儿大部分为长江干支流乡村儿童，多有生食淡水蟹病史，首发临床症状多样，病变部位广泛，实验室检查肺吸虫抗体阳性率高，血嗜酸性粒细胞多有不同程度增高，需加强对重点人群的卫生宣教工作。
Abstract:
Objective To analyze the clinical characteristics of hospitalized children with paragonimiasis surgery in the northeastern part of Chongqing in the Three Gorges reservoir area, to improve clinical medical workers’ awareness of paragonimiasis, and to provide suggestions for prevention and treatment.Methods From January 1, 2015 to December 30, 2019, we retrieved the case data of children with paragonimiasis in our hospital from the electronic case system from January 1, 2015 to December 30, 2019, and recorded demographic data such as gender, age, and permanent residence, and analyzed them Epidemiological contact history, clinical manifestations, major lesions, and laboratory test results such as eosinophils and paragonimiasis antibodies.Results ①A total of 105 cases of children were collected, including 74 males and 31 females. Their usual residences were in the main and tributary basins of the Yangtze River, 99 cases were rural, 72 cases (68.6%) had a clear history of raw freshwater crabs; ②Clinical manifestations of patients Mainly body surface masses, cough, fatigue, chest pain, dyspnea, abdominal pain, abdominal distension, headache, convulsions, hemiplegia, fever, etc. The lesions invaded the chest cavity, lungs, pericardium, polyserosal cavity, brain, etc.; ③Patient fluke antibodies 79 cases (75.24%) were positive, 82 cases (78.10%) were increased in the percentage of blood eosinophils and absolute counts, and another 20 cases (19.05%) had a low proportion of children admitted to the hospital, and praquine was added after surgery elevated after ketone treatment; ④43 cases (40.95%) received thoracoscopic-assisted pleural effusion drainage and drainage, 25 cases (23.81%) received thoracoscopic-assisted pericardial fenestration and drainage, 28 cases (26.67%) received cerebral hematoma or brain abscess removal.9 cases (8.57%) did not undergo surgical treatment, and all patients were treated with oral praziquantel.Conclusion The majority of hospitalized children with paragonimiasis surgery in this area were rural children in the mainstream of the Yangtze River. Most of them had a history of raw freshwater crabs. The first clinical symptoms were diverse, the lesions were extensive, the positive rate of paragonimiasis antibodies in laboratory tests was high, and the blood eosinophils most of them had different degrees of increase, and it was necessary to strengthen the health promotion and education work for key groups.

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更新日期/Last Update: 1900-01-01