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日本杯尾吸虫寄居人体致病一例的临床观察

CLINICAL OBSERVATON. A CASE OF COTYLURUS JAPONICUS INFESTATION

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【作者】 陈胜喜; 王树樟; 胡铁辉; 汪志成;

【Author】 Chen Shengxi Wang Shuzhang Hu Tiehui Wang Zhicheng Department of Chest Surgery, The First Affiliated Hospital Hunan Medical College

【机构】 湖南医学院附一院胸外科; 湖南医学院附一院胸外科 进修医生;

【摘要】 一例杯尾吸虫病患儿于1982年12月以慢性缩窄性心包炎入院。手术发现心包、胸膜及腹腔有明显的病理改变。在病人的痰、粪、肝囊肿、心包纤维板标本中均发现该寄生虫虫卵,并从粪渣中洗获成虫,该寄生虫在人体寄居致病,以往未见报道。本文讨论了本例的多系统器官受累的临床表现和诊断过程。

【Abstract】 Al3-year-old girl was admitted in December, 1982 because of clinical presentation with chronic constrictive pericarditis, pleuritis and hapatic cyst. Surgical exploration revealed marked pericardial, pleural and peritoneal inflammatory fibrous lesions. Within the pericardial fibrous plate, hepatic cyst and in the sputum and stool demonstrated eggs of a fluke, and an adult fluke was washed out from the stool, expert testimony bore out the fluke belongs to strigea class, cytolurus genus, which is an intestinal parasite of ducks, its infestation in human host has not been retrieved from the literature yet. The clinical picture of multisystem involvement was reported,and it was proposed that gastrointestinal tract might be the primary site of infestation.

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