河南省50例并殖吸虫病的流行病学和临床特征

本文对１９８７－１９９５年就诊的５０例并殖吸虫病患者进行了分析，发现近年来本病在河南省有逐渐增多的趋势。患者主要集中在豫西山区及丘陵地带。各年龄组中儿童占６２％，男性多于女性。

Epidemiological and Clinical Feattures of Fifty Paragonimiasis Cases in Henan Province

From 1987 to l995, fifty patients with paragonimiasis were analysed in thispaper- The results showed that the incidence of paragonimiasis in Henan province wasgradually increased in the past few years.The patients came mainly from west mountain areaand hilly land. Among different age groups children took 62% of the patients, This diseasewas more common in males than in females- The incidence of disease was high in summer. 66. 3%and 2O% of cases had a history of ingesting raw or undercooked freshwater crabs and drinking raw water respectively. The main manifestations were larva migrans. The incidence of thoracopulmonary, subcutaneous nodule, cerebral, abdominal and pericardial lesions was 5O%, 32 %, 22%, 18% and 12% respectively. 74. 1 % of cases showed eosinophilia. Eggs weren't found in sputum or feces. The pathological examination of subcutaneous nodule biopsy specimen mainlydemonstrated eosinophilic granuloma and tunnel-like lesions. lmmunoIogical test was of significant value for diagnosis of paragonimiasis. The key measures to prevent paragonimiasisare that health education should be carried out and harmfuI eating habit be changed.