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我市地处鄂西山区,是斯氏肺吸虫病流行地区。1970～1985年间,我院共收治肺吸虫病33例,其中心包型9例,占27%,报告如下.一、一般资料男8例,女1例,年龄4～12岁,平均年龄8岁.二、诊断依据:具有一般肺吸虫病的依据(包括食生蟹史、肺吸虫皮试阳性、周围血中嗜酸性粒细胞增高等).有心包积液的典型临床表现.排除其他病因的心包积液,并按肺吸虫病治疗有效.三、临床表现症状有发热9例,咳嗽咳痰9例,心慌气急8例,腹痛4例,下肢浮肿3例,盗汗2例,游走性包块1例.主要体征:心界扩大9例,心音低钝9例,颈静脉怒张7例,肝颈回流征阳性6例,心尖搏动消失5例,奇脉3例,肝脏肿大6例,腹水2例,胸腔积液2例。
The city is located in western Hubei mountainous area, it is endemic area of paragonimiasis. Between 1970 and 1985, a total of 33 cases of paragonimiasis were treated in our hospital, of which 9 cases were pericardial (27%), the report is as follows: First, the general information of 8 males and 1 females, aged 4 to 12 years, with an average age of 8 Year. Second, the diagnosis is based on: the basis of the general paragonimiasis (including the history of eating crab, paragonimiasis test positive, peripheral blood eosinophils increased, etc.) There are typical clinical manifestations of pericardial effusion. Pericardial effusion, and according to the treatment of paragonimiasis effective .Three, the clinical manifestations of fever in 9 cases, cough and sputum in 9 cases, 8 cases of palpitation urgency, abdominal pain in 4 cases, 3 cases of lower limb edema, night sweats in 2 cases, 1 case.The main signs: heart expansion in 9 cases, 9 cases of low heart sound blunt, 7 cases of jugular vein engorgement, 6 cases of liver reflux syndrome, aponeurosis disappeared in 5 cases, 3 cases of odd pulse, liver enlargement 6 Cases, ascites in 2 cases, 2 cases of pleural effusion.