| 陕西的脑型肺吸虫病 |
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| 引用本文： | 王吉安,张敏如,姜仓海.陕西的脑型肺吸虫病[J].西安交通大学学报(医学版),1982(2). |
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| 作者姓名： | 王吉安 张敏如 姜仓海 |
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| 作者单位： | 西安医学院第一属附医院儿科
(王吉安)，西安医学院寄生虫教研组
(张敏如)，西安医学院第一附属医院神经科(姜仓海) |
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| 摘 要： | 一、我院22年来共收治陕西籍肺吸虫病患儿46例,其中股型者9例,占19.5%、八例为学龄男童。二、本组病例均有吃疫区生蟹史,有皮下结节者5例。其化验检查均较完全,故其诊断比较确实。三、其脑部表现,因影响因素较多,故比较复杂。而易于误诊,本组误诊占2/3。四、除例一外,均经别丁常规治疗20—50天,治后4月—2年半追踪,除例2遗留左侧经偏瘫外,其余均恢复正常。说明别丁亦为治疗脑型肺吸虫病的主药。五、本文着重讨论了血清环状沉淀反应及脑电图在脑型肺吸虫病的早期诊断,鉴别、治疗方式选择及予后观察等方面的价值。
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Brain Paragonimiasis in Shaanxi Province |
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| Abstract: | This report deals with 9 cases of brain paragonimiasis whose clinicalmenifestations are of several types, such as epulepsy, brain tumor menigitis.paralysis, vision disturbance and/or headache. Precipitation test and skintest are positive in 8 of the 9 patients, and electroencephalography is ab-normal to a certaln degree in 8 patients. All the cases received specifictherapy. After 4 month-2 and a half year follow-up, six cases returned to normal,one got recurrent episode and one got residual local damage in the brain. Bitin is a good choice in chemical therapy but should be used in combi-nation with dehydrants, cortisone, etc. |
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