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我院自1976年12月至1992年4月共收治慢性脑型血吸虫病35例,报告如下。一、临床资料1.一般资料:男29例,女7例。年龄16～57岁,平均32.5岁。均生活在血吸虫流行区,有疫水接触史。36例中粪检阳性7例,免疫学检查阳性20例,手术证实9例。其叶3例做了脑血管造影检查,15例做了 CT 检查。2.临床类型和症状:肿瘤型23例,占64.1%。癫痫型,占35.1%。癫痫型症状主要是癫痫大发作,少数为局灶性癫痫。肿瘤型症状类似肿瘤,但发病时间多比肿瘤短,有占位症状,其中1(?)例有局灶性癫痫。3.肿瘤型肉芽肿部位:幕上21例,幕下2例。幕上右侧12例,左侧7例,双侧2例。多位于大脑中动脉供血区。
Our hospital from December 1976 to April 1992 were treated in 35 cases of chronic cerebral schistosomiasis, the report is as follows. First, the clinical data 1. General information: 29 males and 7 females. Age 16 ~ 57 years old, average 32.5 years old. All live in endemic areas of schistosomiasis, a history of exposure to water. Of the 36 cases, 7 were positive stool tests, 20 were immunologically positive, and 9 were confirmed by surgery. The leaf in 3 cases made cerebral angiography, 15 cases did a CT examination. 2. Clinical types and symptoms: Tumor type 23 cases, accounting for 64.1%. Epilepsy type, accounting for 35.1%. Epilepsy symptoms are mainly epileptic seizures, a small number of focal epilepsy. Tumor-like symptoms similar to the tumor, but the onset time is shorter than the tumor, there are occupying symptoms, of which 1 (?) Cases of focal epilepsy. 3. Tumor-type granuloma site: 21 cases on the screen, 2 cases under the screen. On the right side of the screen in 12 cases, left in 7 cases, bilateral in 2 cases. More in the middle cerebral artery blood supply area.