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病例介绍[例1]钱××,54岁,男性,农民,未婚,安徽贵池人,1979年5月因粪检血吸虫卵及毛蚴阳性入院求治。患者粪检阳性已4年余,近2～3年来时感胸闷,心悸,劳累后加重,并经常头昏.3年前曾昏厥一次,历时数分钟,当地诊断为“心脏病”,因而未给予血吸虫病病原治疗。近年来大便不规则,每日5～6次,带粘血。5年前患者曾因粪检阳性接受过锑273治疗,疗程中发生阿-斯氏综合征,经抢救2天恢复.入院体检:营养发育中等,血压114/76毫米汞柱,心界不大,心率42～50次/分,心律不齐,肝肋缘下2厘米,剑突下4厘米,质中,压痛不明显,脾肋缘下2厘米。胸部X 线检查未见明显异常.心电图示频发性房性早搏伴差异传导,有时呈二联律,室性早搏,窦性静止、交界性逸搏,窦性静止最长时间达3秒钟(图1).入院诊断:日本血吸虫病、
Case description [Example 1] Qian × ×, 54 years old, male, farmer, unmarried, Anhui Guichi people, in May 1979 due to dung check schistosome eggs and cercariae positive admission for treatment. Patients stool positive for more than 4 years, nearly 2 to 3 years time feeling chest tightness, heart palpitations, increased after exertion, and often dizziness .3 years ago once fainted, which took a few minutes, the local diagnosis of “heart disease” and therefore not Give schistosomiasis pathogen treatment. Irregular stools in recent years, 5 to 6 times a day, with viscous blood. 5 years ago, the patient had received antimony 273 because of fecal seizures, treatment occurred in Asperger’s syndrome, after rescuing two days recovery. Physical examination: moderate nutritional development, blood pressure 114/76 mm Hg, heart is not big , Heart rate 42 ~ 50 beats / min, arrhythmia, liver margin 2 cm, xiphoid 4 cm, quality, tenderness is not obvious, 2 cm under the splenic margin. Chest X-ray examination showed no significant abnormalities ECG showed atrial premature beats with differential transmission, and sometimes showed bipolar law, ventricular premature beats, sinus quiescence, border esophageal abortion, sinus quiescence for up to 3 seconds (Figure 1) Admission diagnosis: Schistosoma japonicum,