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目的 探讨脑囊虫病病人的临床和辅助检查的诊断价值。方法 对 4 32例脑囊虫病病人的临床资料和辅助检查结果进行对比分析。结果 在该组病人中 ,癫痫发作占 75 4 6 % ,颅内压增高占 36 81% ;异体感染占 79 39% ,农村高于城镇 ;脑电图异常率为 73 84 % ;CT阳性率为 84 72 % ;血和脑脊液间接血凝(IHA)阳性率分别为 78 6 6 %、75 5 6 % ;酶联免疫吸附试验 (ELISA)阳性率分别为 85 82 %和 83 39% ;循环抗原 (CAg)阳性率为 90 34%。结论 脑囊虫病病人以癫痫发作和颅内压增高为主要表现 ;异体感染为主要途径 ;在辅助检查中 ,CT和脑电图检查对诊断脑囊虫病具有重要的使用价值。
Objective To investigate the clinical and auxiliary diagnostic value of patients with cysticercosis. Methods The clinical data and auxiliary examination results of 4232 patients with cerebral cysticercosis were compared. Results In this group of patients, seizure accounted for 75 4 6%, intracranial pressure increased 36 81%; allogenic infection accounted for 79 39% in rural areas higher than the town; EEG anomaly rate was 73 84%; CT positive rate was 84 72%. The positive rates of blood and cerebrospinal fluid indirect hemagglutination (IHA) were 78.66% and 75.56% respectively. The positive rates of ELISA were 85.82% and 83.39% CAg) positive rate of 90 34%. Conclusions The patients with cerebral cysticercosis have seizure and intracranial pressure as the main manifestation. Allogeneic infection is the main way. In the auxiliary examination, CT and EEG have important value in the diagnosis of cerebral cysticercosis.