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目的探讨广州管圆线虫病的诊断和治疗方法．方法分析一例２岁小儿广州管圆线虫病的发病和诊治经过．结果该病主要表现为脑脊髓膜炎，伴有面神经瘫痪，血、脑脊液中嗜酸性粒细胞明显增高，脑脊液检得第５期幼虫４３条及幼龄成虫１条；阿苯达唑辅以肾上腺皮质激素、甘露醇治疗效果良好．颅内压增高明显而脑脊液中虫体较多时，经腰穿放液减压和脑脊液灌洗、置换清除虫体减轻病情的危重性．结论脑脊液检得幼虫虫体可确诊，阿苯达唑是有效的药物，必要时进行脑脊液处置，降低颅内高压．
Objective To investigate the diagnosis and treatment of angiostrongyliasis in Guangzhou. Methods A case of 2-year-old pediatric angiostrongyliasis was analyzed and diagnosed. Results The disease mainly manifested as meningococcal meningitis, accompanied by facial paralysis, blood and cerebrospinal fluid eosinophilia was significantly increased, cerebrospinal fluid seized 43 larvae and juvenile adult 1; albendazole supplemented with adrenal gland Corticosteroids, mannitol treatment is good. Significant increase in intracranial pressure and cerebrospinal fluid more parasites, the lumbar puncture fluid decompression and cerebrospinal fluid lavage, replacement of clear parasites to reduce the severity of the disease. Conclusions The larvae of cerebrospinal fluid can be diagnosed by laparotomy. Albendazole is an effective drug, and when necessary, cerebrospinal fluid is treated to reduce intracranial hypertension.