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本文作者总结了加拿大Toronot市总医院1967～1982年间收治的40例肝包虫病,包括细粒棘球蚴病39例,多房棘球蚴病1例。女性23例,男性17例平均42岁(20～69岁)。主要临床表现为腹痛和触痛(占87%)、右上腹肿块(23%)、发热史(23%)、黄疸史(21%)、瘙痒、皮疹、荨麻疹(15%)、过敏史(5%),无症状者占13%。黄疸和发热多为数个子囊或感染造成肝外胆道梗阻所致,其囊肿与胆道相通。全组肝功能检查有40%异常,最多见为AKP和嗜酸细胞升高,分别占30%、25%。血清学检验阳性者计:间接血凝试验84.6%、补体结合试验66.7%。Casoni皮试86.4%
The authors summarized 40 cases of hepatic hydatid disease admitted to the General Hospital of Toronot, Canada from 1967 to 1982, including 39 cases of granulomatous echinococcosis and 1 case of multilocular echinococcosis. 23 females, 17 males average 42 years old (20 to 69 years old). The main clinical manifestations were abdominal pain and tenderness (87%), right upper abdominal mass (23%), fever (23%), history of jaundice (21%), pruritus, rash, urticaria (15%), 5%), asymptomatic accounted for 13%. Jaundice and fever caused by several extracapsular or infection caused by extrahepatic bile duct obstruction, the cyst and biliary communication. A total of 40% abnormal liver function tests, the most common for the AKP and eosinophils, accounting for 30%, 25%. Serological tests were positive persons: indirect hemagglutination test 84.6%, complement fixation test 66.7%. Casoni skin test 86.4%