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细粒棘球蚴病亦称二型包虫病(CE)发生在除南极以外的所有大陆地区,主要分布在中国的西北部、北部和中部地区;部分南美、东非和北非地区;澳大利亚、中亚和地中海;俄罗斯、西欧和美国南部地区.多房棘球呦病亦称泡型包虫病(AE)主要局限于北半球,其高发流行区主要在美国阿拉斯加、日本北海道、西伯利亚、中国西北和中部地区、欧洲中西部和加拿大部分地区.1905年国内最早临床报告CE病例,新疆医学院姚秉礼1965年在国内首次对AE做出诊断和治疗的综合报道.一般地认为CE囊肿生长到一定程度(生长速度每年约1～31mm)才表现临床症状和体征0,如右上腹不适、肝大或可触及包块等.若囊肿破裂则可导致严重并发症(破入腹腔造成播散.破入胆道引起黄疽甚至化脓性胆管炎.破人胸腔导致支气管胸膜瘘等)人体AE是以纤维组织的生物性肿物为特征,其寄生虫性病灶逐步浸润肝组织,破坏胆道结构.侵袭肝血管系统.故也称为类肝癌病灶.据新疆医学院的97例和法国贝藏松医学院的80例AE临床资料分,50%～80%口才感上腹部痛;46%～(?).病便可触及包块或不规则肝肿大;50%,以上AE有不同程度的黄疽病史:AE的病灶转移约15%(发生在肺脏,6%在脑或骨组织,更为罕见的AE并发症为布—恰氏综合征和门脉栓塞.包虫病的诊断除临床表现之外主要是影像学(B超?
Echinococcus granulosus, also known as type II echinococcosis (CE), occurs in all continents except Antarctica, mainly in the northwestern, northern and central China; parts of South America, East Africa and North Africa; in Australia Asia and the Mediterranean; Russia, Western Europe and the southern United States. Echinococcus multiforniopathy also known as alveolar hydatid disease (AE) is mainly confined to the northern hemisphere, its high prevalence area mainly in the United States Alaska, Japan Hokkaido, Siberia, northwestern China and Central Plains, Midwestern Europe and some parts of Canada .In 1905 the earliest clinical reports of CE cases, Xinjiang Medical College Yao Bingli first made a comprehensive diagnosis and treatment of AE in China in 1965. Generally believed that CE cyst growth to a certain extent Growth rate of about 1 ~ 31mm per year) before the clinical symptoms and signs of 0, such as right upper quadrant discomfort, liver or palpable masses, etc. If the cyst rupture can lead to serious complications (broken into the abdominal cavity causing dissemination. Causing jaundice or purulent cholangitis. Broken chest lead to bronchopleural fistula, etc.) Human AE is characterized by fibrous tissue biological tumor, the parasite lesions gradually Run liver tissue, the destruction of the biliary structure invasion of the hepatic vascular system, it is also known as liver-like lesions.According to Xinjiang Medical College in 97 cases and the French Bezosong Medical College 80 cases of AE clinical data points, 50% ~ 80% eloquence Upper abdomen pain; 46% ~ (?) .The disease can be palpable mass or irregular liver enlargement; 50%, above AE have different degrees of jaundice history: AE lesions around 15% (occurred in the lungs, 6 % In brain or bone tissue, the more common AE complication is Budd-Chiari syndrome and portal embolism. The diagnosis of hydatid disease is primarily radiological (B-ultrasonography) in addition to clinical manifestations