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我院5年间收治脑囊虫病患者139例,男111例,女28例,年龄4～72岁。病程最短3天,最长12年6个月。诊断:139例均经粪绦虫卵检查,9例阳性,阳性率6.5%,均经血酶联免疫吸附试验,134例阳性,阳性率96.4%;头颅CT检查77例,64例有改变,改变率83.1%。139例中有35例于入院前误诊为脑部其它疾病。本组诊断及疗效判定符合1985年郑州会议标准。治疗:本组87例用吡喹酮20～30mg/kg·d,分3次口服,连续6日为1疗程,间隔2个月重复疗程。每疗程总剂量120～180mg/kg。结果第2疗程后显效12例(占14%),第3疗程后显效21例(占24%),第4疗程后显效27例(占31%),第5疗程显效18例(占
In our hospital for 5 years, 139 cases of patients with cerebral cysticercosis were admitted, including 111 males and 28 females, aged 4 to 72 years. The shortest duration of 3 days, up to 12 years and 6 months. Diagnosis: All 139 cases were diagnosed by testicular tapeworm eggs, 9 cases were positive and the positive rate was 6.5%. All of them were positive for blood enzyme-linked immunosorbent assay (ELISA). The positive rate was 96.4%. The head CT examination was performed in 77 cases and 64 cases were changed. 83.1%. 35 of 139 cases were misdiagnosed as other brain diseases before admission. The diagnosis and efficacy of this group meet the 1985 Zhengzhou meeting standards. Treatment: 87 cases of this group with praziquantel 20 ~ 30mg / kg · d, 3 times orally for 6 consecutive days as a course of treatment, interval of 2 months repeated course of treatment. The total dose per treatment 120 ~ 180mg / kg. Results After the second course of treatment, 12 cases (14%) were markedly effective, 21 cases (24%) after the third course, 27 cases (31%) after the fourth course, and 18 cases