例1,患儿,女,5岁,因持续低热、以咳、倦怠无力、食欲不振、消瘦四月余入院。发病前一个月有生食蜊蛄史。查体:患儿呈慢性病容,面色灰暗,营养不良貌,双肺底呼吸音弱,叩诊呈浊音,心率84次/分,节律不整,每分3—4个早搏,肝肋下2.0厘米,剑突下30厘米,质韧、无压痛。实验室检查白细胞计数32.4×10~9/l,嗜酸性粒细胞占64％,计数为23.364×10~9/l(正常值为0.022×10~9/l),胸片示双侧胸腔少量积液,右侧胸膜肥厚,心电图示窦性心动过速,多发性室性早搏,发病后两个月作心脏扇扫示为心包积液(少量)。肺吸虫酶联试验(ELISA)为阳性,骨穿提示嗜酸细胞增多症(以上两项为长春医大三院结果),确诊为肺吸虫后给予病原治疗,口服吡喹酮,每日1.2克均分一日三次,连服二日,症状渐缓解,后出院。 例2,患儿,女,5岁半,因持续低热、轻咳、乏力、疲倦、食欲不振、逐渐消瘦四月余入院,在发病初曾有数日腹痛腹泻病史,腹泻物为茶叶沫样大便,同样有发病前一个月有生 Case 1, children, women, 5 years old, due to persistent fever, cough, fatigue, loss of appetite, weight loss more than four months admitted to hospital. A month before the onset of raw food clam 蛄 history. Physical examination: children with chronic disease, pale, malnourished appearance, lung bottom breath sounds weak, percussion was voiced, heart rate 84 beats / min, irregular rhythm, 3-4 beats per minute, liver ribs 2.0 cm, Xiphoid 30 cm, quality tough, no tenderness. Laboratory tests showed a white blood cell count of 32.4 × 10 ~ 9 / l, eosinophil count of 64% and a count of 23.364 × 10 ~ 9 / l (normal value 0.022 × 10 ~ 9 / l) Pleural effusion, right pleural hypertrophy, ECG showed sinus tachycardia, multiple ventricular premature beats, two months after the onset of heart fan scan showed pericardial effusion (a small amount). Paragonimiasis enzyme-linked test (ELISA) was positive, bone wear prompted eosinophilia (more than two Changchun Medical College Hospital results), diagnosed as paragonimiasis pathogen treatment, oral praziquantel, daily 1.2 g Divided three times a day, and even served on the 2nd, the symptoms gradually ease, after discharge. Case 2, children, women, 5 years and a half, due to persistent fever, mild cough, fatigue, fatigue, loss of appetite, weight loss more than four months admitted to the hospital early in the incidence of abdominal pain had a history of diarrhea, , The same month before the onset of life