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亚临床脑型猪囊尾蚴病与吡喹酮

Subclinical Cerebral Cysticercosis and Biltricide (Praziquantel)

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【作者】 朱道韫; 徐文成; 钱庸达; 包意芳; 瞿靖琦;

【Author】 Zhu Daoyun, Xu Wencheng, Qian Yongda, Bao Yifang and Qu Jingqi

【机构】 中国预防医学中心寄生虫病研究所; 上海市闸北区中心医院; 中国预防医学中心寄生虫病研究所;

【摘要】 总结18例亚临床脑型患者因吡喹酮治疗诱发的临床症状和转归。神经精神症状有癫痫、头痛、恶心、呕吐、肢体瘫痪、运动性失语和思绪紊乱等。症状首次出现在治程中至治毕1 年。治毕随访6月至3年,出现癫痫的10例中近3月未发者9例,近6月未发者7例;出现头痛恶、心、呕吐的18例中16例症状消失,2例减轻;出现其他神经精神症状者除 1例外均消失。其转归似与囊虫结节引起脑部病变的严重程度有关。

【Abstract】 This article reported 18 cases of subclinical cerebral cysticercosis in which clinical aeuropsychial symptoms were induced by praziquantel treatment. The symptoms included epileptic seizure, headache, nausea, vomiting, limbs paralysis, motor aphasia and confused state of mind etc. The first symptom came on variedly from during the course of medication to one year after treat ment. The cases were followed up for 6 months to 3 years after treatment and it was shown that 9 of 10 cases with epileptic seizure had a remission for 3 months and 7 cases for 6 months. Among 16 of 18 cases, headache, nausea and vomiting subsided and in the other two, symptoms improved, all the rest of symptoms disappeared, but one with local palm numbness for 2 years. It seems that t e prognosis is concerned wit t.:e severity of brain pathology caused by cysticercosis cellulosae.

  • 【文献出处】 中国医学科学院学报 ,Acta Academiae Medicinae Sinicae , 编辑部邮箱 ,1984年04期
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