2015肺吸虫.ppt

查嗜酸性粒细胞计数2.6×108/L。某寄生虫抗原皮内试验：阳性；ELISA：阳性（1 ：1280）。痰查虫卵阳性。确诊为某吸虫病。 经药物治疗，患者所有诊状消失，痊愈出院。 患者鲁某病史摘要 发病5年,进行性加剧，胸痛向左肩放射、干咳、咳痰、痰中带血，甚至大口吐血。 医生先后诊断为：支气管炎、慢性支气管炎、慢性支气管化脓、慢性肺炎、肺结核、支气管扩张、双肺感染结核待排除、胸腺瘤、胸腺增生。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 肺吸虫感染肺部照片 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 脑型 肺吸虫病人 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 1.询问病史 2.病原检查： 检获虫卵或成虫 1）痰检、粪检: 检获虫卵 2) 病理检查: 摘除皮下包块、结节，查找虫体或卵。 3.免疫学检查：皮试, ELISA 4. X线、CT、核磁共振： 四、卫氏并殖吸虫感染的诊断 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 肺吸虫病人X光照片 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Charcot Leyden Crystal These diamond shaped crystals are often seen in paragonimiasis and may also be present in other parasitic infections. ×400. 夏科-雷登结晶 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 五、流行(epidemiology) 1. 生态环境：山区、丘陵、小溪 旅游点与开发地 2.自然疫源地（natural endemic focus） 存在于很多地方的山区、丘陵地带 流行区类型： - 溪蟹型 大部分 特点：不断有新流行点出现，但易被控制。 - 蝲蛄型 东北、朝鲜 特点：是地方病，常见病。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 并殖吸虫病自然疫源地 Natural endemic focus for paragonimiasis Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 1）、病人、带虫者 2