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班氏丝虫成虫进入肺动脉并引起肺组织梗死较为罕见,现介绍1例如下: 患者 男性,41岁,农民,江苏省灌云县人。诉胸痛,痰中带血及全身乏力。X线发现右下肺块状阴影,曾先后拟诊为结核和肿瘤。体检:两侧腹股沟和股内侧淋巴结呈串珠状,大者如蚕豆。左侧副睾及精索有结节。白细胞6800,嗜酸粒细胞占10％。剖胸探查,发现右肺下叶背段有一肿块,直径约4.5cm.术后血检三次微丝蚴均为阴性。以往无海群生治疗史。
Bancroftian filarial adult into the pulmonary artery and cause lung tissue infarction is relatively rare, are introduced as follows: patients male, 41 years old, farmer, Guanyun County, Jiangsu Province. Chest pain, bloody sputum and malaise. X ray found the right lower lung block shadow, has been diagnosed as tuberculosis and cancer. Physical examination: On both sides of the inguinal and femoral lymph nodes were beaded, such as broad beans. Left epididymis and spermatic cord nodules. White blood cells 6800, eosinophils accounted for 10%. Thoracotomy exploration and found that there is a piece of the right lung lower lobe, a diameter of about 4.5cm. After three blood tests were microfilaria were negative. In the past no sea group therapy history.