本文报告湖北省大冶县卫氏肺吸虫病32例,多为儿童。均有吃溪蟹史和皮试阳性。临床表现有胸痛、咳嗽、腹痛、肝大等。X线胸片可见浸润、结节、空泡、纤维条索、肺纹增多等改变。嗜酸性白细胞皆增多,最高为4,500/mm~3和56％。间接血凝试验29例阳性。ELISA 31例阳性。但痰与粪检均未查到肺吸虫卵,可能因人体不太适合虫体寄生发育而多为童虫之故。用别丁治疗效果满意。 This article reports 32 cases of paragonimiasis in Daye County, Hubei Province, mostly children. Have to eat crab history and skin test positive. Clinical manifestations of chest pain, cough, abdominal pain, liver and so on. X-ray showed infiltration, nodules, vacuoles, fiber cords, increased lung pattern and other changes. Eosinophils are increased, up to 4,500 / mm ~ 3 and 56%. Indirect hemagglutination test was positive in 29 cases. ELISA positive in 31 cases. However, sputum and fecal examination were not found parasitic eggs, may be due to the human body is not suitable for parasitic development of parasites and more for the sake of the pest. Satisfaction with the treatment effect of other small.