【摘要】：對2003-2012年恩施土家族苗族自治州中心醫(yī)院收治的腦脊髓型并殖吸蟲病急性期患者的臨床資料進行回顧性分析。22例患者中,男性15例,女性7例;年齡6~17歲,均來自于農(nóng)村,有生食螃蟹史。CT和核磁共振成像(MRI)示,22例患者均有大腦半球損害,16例病變局限在單側大腦半球,6例發(fā)現(xiàn)雙側大腦半球病灶。主要有兩種影像學改變,1梗死灶與大面積低密度水腫灶伴局灶性出血,2環(huán)形病灶。6例表現(xiàn)為腦內(nèi)血腫的患者,其中2例行手術清除,所有患者均給予吡喹酮口服,每次25 mg/kg·次,3次/d,3 d為1個療程,配合甘露醇、地塞米松對癥支持治療。治療1個療程后間隔7 d再行下1個療程治療,所有患者均痊愈出院。
[Abstract]:The clinical data of acute stage patients with paragonimiasis of Enshi Tujia Miao Autonomous Prefecture from 2003 to 2012 were analyzed retrospectively. Among 22 patients, 15 were male and 7 were female. The age of 6 to 17 years old all came from rural areas and had a history of raw crabs. Ct and MRI (MRI) showed that 22 patients had cerebral hemispheric lesions, 16 patients were localized in unilateral hemispheres, and 6 patients found bilateral cerebral hemispheres. There are two main imaging changes, 1 infarction focus and large area low density edema focus with focal hemorrhage, 2 circular focus. 6 cases with intracerebral hematoma, 2 cases underwent surgical clearance, all patients were given praziquantel orally, and all the patients were given praziquantel orally, and 2 cases were treated with praziquantel orally, and 2 cases showed intracerebral hematoma. Each time 25 mg/kg, 3 times a day, 3 days as a course of treatment, combined with mannitol, dexamethasone, symptomatic support therapy. After 1 course of treatment, 7 days after treatment, the next course of treatment was performed, all the patients were cured and discharged.
【作者單位】： 武漢大學基礎醫(yī)學院;恩施亞菲亞婦產(chǎn)醫(yī)院;恩施土家族苗族自治州中心醫(yī)院;
【分類號】：R532.2

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