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溶组织阿米巴原虫侵入胸腔,最常引起胸膜和肺的病变,也可发生心包炎。我们于1964年曾应用“胸腔阿米巴病”这一名称报告1958～1963年所见的35例,现共收集1982年以前116例,并重点分析下列几个问题: 一、误诊情况:在50及60年代初期,我们对胸腔阿米巴病缺少认识,误诊比例大,误诊时间长。确诊者多通过了痰、胸液、肝脓液或心包液内检见阿米巴原虫,当然会有不少误诊病例,直至死亡而未被诊断或直至死检后始成立诊断。到了70年代对本病的认识逐步提高,误诊明显减少。许多病例未等病原检出,通过病史、症状、体征、X线及超声波等检查综合分析,单独给于抗阿米巴药物试治,若明显见效即确诊为本病。现列表如下:
Entamoeba histolytica invasion of the chest, the most common cause of pleural and pulmonary lesions, pericarditis can also occur. In 1964, we applied the name of “pleuropneumoniae” to report the 35 cases seen from 1958 to 1963. We collected 116 cases before 1982 and analyzed the following questions: First, the misdiagnosis situation: In the 1950s and early 1960s, we had a lack of awareness of pleuropneumoniae, a large proportion of misdiagnoses, and a long misdiagnosis. Confirmed by more than sputum, pleural fluid, liver pus or pericardial fluid to see amebic protozoa, of course, there will be a lot of misdiagnosed cases, until the death has not been diagnosed or until the dead before the establishment of a diagnosis. By the 1970s, the awareness of the disease gradually increased, misdiagnosis significantly reduced. Many cases have not been detected pathogen, by history, symptoms, signs, X-ray and ultrasound examination comprehensive analysis of anti-amoeba drug treatment alone, if markedly effective diagnosis of the disease. The list is as follows: