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目的观察粪类圆线虫的形态,探讨粪类圆线虫病的治疗方法。方法采用直接涂片法和试管滤纸培养法鉴定病原形态,用阿苯达唑驱虫治疗。结果患者痰液涂片镜下可见数条白色幼虫,经培养鉴定为粪类圆线虫丝状蚴,病人经阿苯达唑600mg/d×5d治疗后,其痰液、胃液、尿液及粪便中均未检出活体幼虫,由于合并并发症出现全身衰竭,家属放弃治疗,出院后2d死亡。结论粪类圆线虫病诊断应注意与钩虫病、东方毛圆线虫病进行鉴别;对免疫功能低下患者和使用过激素类免疫抑制剂的病人,治疗前应先进行粪类圆线虫检查,阳性者予以驱虫治疗,可降低播散性超度感染的风险。治疗粪类圆线虫病首选阿苯哒唑,耐药患者可选用伊维菌素治疗。
Objective To observe the morphology of stink bug and explore the treatment of stink bug. Methods Direct smear method and tube filter paper method were used to identify the pathogen and treated with albendazole. Results A number of white larvae were observed in sputum smear microscopy. The specimens were identified as Filaria larvae filamentous larvae. After treatment with albendazole 600mg / d × 5d, sputum, gastric juice, urine and feces Were not detected in vivo larvae, complications due to complications of systemic failure, family members to give up treatment, 2d after discharge from hospital. Conclusion The diagnosis of stinkbug disease should pay attention to the identification of hookworm disease and Trichinella-nematode disease. For the patients with immunocompromised and hormone-immunosuppressive agents, the stool nematode examination should be performed before treatment, and the positive Deworming treatment to reduce the risk of disseminated super-infection. The treatment of stool nematodes preferred albendazole, drug-resistant patients may use ivermectin treatment.