Boĭtsov V D, Telushkin A V, Tumol'skaia N I, Iarotskiĭ L S
Med Parazitol (Mosk). 1992 Mar-Apr(2):12-4.
23 patients with pulmonary hydatid disease were observed in Chukotka. The patients observed were divided into 2 groups (14 and 9 patients) matched for sex, age, invasion intensity and topography. The patients of the first group were operated after they had been diagnosed, and the patients of the second group were observed without operation. In the both groups, the symptoms of invasion were low expressive, its course was torpid, the complications were rare and the dissemination was not recorded. Two patients observed without operation recovered after the break of the cyst into the bronchus and its evacuation. Relapses of invasion after operation were not recorded in any case. The causes of the good clinical course of pulmonary hydatid disease in the aborigines of Chukotka and the necessity of revising the treatment course are discussed.
在楚科奇观察了23例肺包虫病患者。所观察的患者分为两组(分别为14例和9例),两组在性别、年龄、侵袭强度和部位方面相匹配。第一组患者在确诊后接受了手术,第二组患者未接受手术而是进行观察。两组患者的侵袭症状表现均较轻,病程进展缓慢,并发症少见且未记录到扩散情况。两名未接受手术的患者在囊肿破裂进入支气管并排出后康复。在任何情况下均未记录到术后侵袭复发情况。本文讨论了楚科奇原住民肺包虫病临床过程良好的原因以及修订治疗方案的必要性。