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肺吸虫病临床表现缺乏特异性[1],具有可变性,容易误诊。为吸取经验教训,提高诊断水平,本文综合我县盘山区1975~1987年收治和调查的误诊病例19例,现分析如下。一、一般资料19例中男17例,女2例。年龄3~14岁,其中6~8岁13例。诊断标准:①来自肺吸虫流行地区的患者(本地区于1980年定为流行区)。②有食生蟹或半生蟹史。③血白细胞计数显著增加,嗜酸细胞≥20%。④肺吸虫抗原皮试≥(++),排除肝吸虫、血吸虫和姜片虫交叉阳性。⑤经其他药物治疗无效而用别丁治疗获痊愈者。
Paragonimiasis clinical manifestations of the lack of specificity [1], with variability, easy to misdiagnosis. In order to learn from the experience and raise the level of diagnosis, this paper synthesizes 19 cases of misdiagnosis admitted and investigated in Panshan District of our county from 1975 to 1987, and is analyzed as follows. First, the general information 19 cases of male 17 cases, female 2 cases. Age 3 to 14 years old, of which 6 to 8 years old in 13 cases. Diagnostic criteria: ① from flu in endemic areas of patients (the region in 1980 as a popular area). ② crab or half raw crab history. ③ a significant increase in white blood cell count, eosinophils ≥ 20%. ④ Paragonimus antigen skin test ≥ (++), excluding liver flukes, schistosomiasis and zooxanthelia cross-positive. ⑤ after treatment by other drugs ineffective treatment was cured.