西北地区四所医院１９７０～１９９１年共收治１８８例小儿肝包虫病。其中男１１１例，女７７例，年龄２～１４岁。绝大多数有长期与羊、犬接触史。临床多以上腹部无痛性包块就诊（８０．９％）。约有５１．１０％的患儿表现为全身营养不良和贫血，早期易误诊为肠道寄生虫病。Ｃａｓｏｎｉ＇ｓ试验阳性率为８６．９％，较成人为低。Ｘ线检查常见有膈肌升高征象，超声诊断技术尤其是Ｂ超对本病确诊率很高。本组１８８例均经手术治愈。只要术中用４％或１０％福尔马林液对其包虫头节和子囊处理，复发率极低，关键在于包虫处理的彻底性和防止囊液的外流。术中操作轻柔、细致，及加强围手术期处理，对降低并发症提高治愈率具有重要意义。 Four hospitals in Northwest China from 1970 to 1991, a total of 188 cases of children with hepatic hydatid disease. Including 111 males and 77 females, aged 2 to 14 years old. The vast majority have a long history of exposure to sheep and dogs. Clinically more than the abdomen painless mass (80.9%). About 51.10% of children showed generalized malnutrition and anemia, early misdiagnosis as intestinal parasitic disease. Casoni’s test positive rate was 86.9%, lower than in adults. X-ray examination of common signs of diaphragm elevation, ultrasound diagnosis of B-ultrasound, in particular, the diagnosis of this disease is very high. The group of 188 patients were cured by surgery. As long as the surgery with 4% or 10% of formalin on their hydatid head and ascus treatment, the recurrence rate is very low, the key lies in the hydatid treatment and prevent the outflow of cystic fluid. Intraoperative gentle, meticulous, and to strengthen the perioperative management, reduce complications and improve the cure rate is of great significance.