肺血吸虫病1例并文献复习

发布时间：2018-05-18 08:20

本文选题：血吸虫病 + 肺　；参考：《南京医科大学学报(自然科学版)》2017年12期

【摘要】：目的 :探讨肺血吸虫病的临床表现、影像学特征、诊断、鉴别诊断及治疗。方法 :回顾性分析南京医科大学第一附属医院呼吸科收治的1例肺血吸虫病患者的临床资料并进行相关文献复习。以"血吸虫病"及"肺"为检索词检索万方数据库和中国期刊网全文数据库,检索时间为2005年1月—2015年8月。结果:在以上数据库共检索到25篇相关文献共177例肺血吸虫病,包括本例在内共178例,男132例,女46例,平均年龄32.6岁。该病误诊率较高,临床主要表现为咳嗽、咳痰、发热。影像学主要变现为肺纹理增多增粗、粟粒样阴影、占位性病变。诊断主要依赖病理、血清学及体外孵化试验。多数患者经驱虫治疗预后良好。结论:肺血吸虫病临床及影像学表现无特异性,需与肺结核、支气管炎、肺部肿瘤等鉴别。对临床表现为急、慢性感染性疾病经抗感染治疗效果欠佳者需警惕该病可能。
[Abstract]:Objective: to investigate the clinical manifestations, imaging features, diagnosis, differential diagnosis and treatment of pulmonary schistosomiasis. Methods: the clinical data of a case of lung schistosomiasis treated in the Department of Respiratory of the first affiliated Hospital of Nanjing Medical University were retrospectively analyzed and the related literatures were reviewed. Using "schistosomiasis" and "lung" as the key words to search Wanfang database and full text database of Chinese Journal Network, the retrieval time is from January 2005 to August 2015. Results: a total of 177 cases of lung schistosomiasis were found in 25 related literatures, including 178 cases (132 males and 46 females), with an average age of 32.6 years. The misdiagnosis rate of the disease is high. The main clinical manifestations are cough, expectoration and fever. The main imaging manifestations were increased and thickened lung texture, miliary shadow and space-occupying lesions. Diagnosis mainly depends on pathology, serology and in vitro incubation test. Most patients had a good prognosis after insect repellent treatment. Conclusion: the clinical and imaging findings of pulmonary schistosomiasis are not specific and should be distinguished from pulmonary tuberculosis, bronchitis and lung tumor. Patients with acute clinical manifestations and chronic infectious diseases with poor anti-infection treatment should be on guard against the possibility of the disease.
【作者单位】：南京医科大学第一附属医院呼吸内科;
【基金】：国家自然科学基金(81100994)
【分类号】：R532.21

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