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我院1990～1993年共收治20例脑囊虫病,全部治愈出院,报告如下。 1 临床资料 1.1 一般资料 男12例,女8例;年龄16～56岁,平均30岁。均有服“米粒肉”病史。 1.2 临床表现 癫痫型(14/20),脑膜炎型(4/20),颅内压增高型(2/20)。本组20例均作脑CT检查:脑皮质均见散在的圆形或卵圆形低密度阴影及钙化灶等不同的病理变化;确立脑囊虫病诊断。 1.3 治疗 本组20例脑囊虫病患者均先经神经外科行开颅术,尽量取除囊虫虫体。最少取出12粒虫体,最多取出40余粒虫体。拆线后7～10天,口服化学药物吡喹酮治疗,每次10mg/kg,每天三次,连续4～6天,总剂量120～160mg/kg。 1.4 疗效 20例病人全部治愈出院,随访6个月,无复发症状。
Our hospital from 1990 to 1993 were treated 20 cases of cysticercosis, all cured and discharged, the report is as follows. 1 Clinical data 1.1 General Information Male 12 cases, 8 females; aged 16 to 56 years, mean 30 years. Have served “rice grain” history. 1.2 clinical manifestations of epilepsy (14/20), meningitis (4/20), increased intracranial pressure (2/20). The group of 20 cases were made for brain CT examination: all see the scattered cortical round or oval low-density shadows and calcifications and other pathological changes; the establishment of cerebral cysticercosis diagnosis. 1.3 The treatment of 20 patients with cysticercosis were neurosurgery craniotomy, try to remove cysticercosis parasites. Remove at least 12 worms and remove up to more than 40 worms. 7 to 10 days after stitching, oral administration of praziquantel chemical, each time 10mg / kg three times a day for 4 to 6 days, the total dose of 120 ~ 160mg / kg. 1.4 The efficacy of 20 patients were cured and discharged, followed up for 6 months, no recurrence of symptoms.