患者男性,45岁,内蒙古人。1990年2月6日入院。入院前1个月出现头痛、喷射性呕吐。1月19日头颅CT平扫发现双侧额顶叶占位。胸片示右肺团块状阴影。诊断为肺、脑包虫病。检查:嗜睡,构音不清。双侧视乳头水肿并小片视网膜出血,悬雍垂右偏,伸舌左偏。颈强直,Kernig氏征(+)。包虫抗原皮试阳性。血包虫补体结合试验、间接血凝试验及ELISA均阴性。给予肠虫 Male patient, 45 years old, Inner Mongolia. February 6, 1990 admitted to hospital. 1 month before admission, headache, jet vomiting. January 19 cranial CT plain scan found that the amount of bilateral parietal lobe. Chest radiograph shows the shadow of the right lung mass. Diagnosis of lung, brain echinococcosis. Check: lethargy, unclear articulation. Bilateral papillae edema and retinal hemorrhage, uvula right deviation, left tongue extension. Neck stiffness, Kernig’s sign (+). Hydatid antigen skin test positive. Hematocrit complement fixation test, indirect hemagglutination test and ELISA were negative. Give intestinal worms