Pezzella A Thomas, Yu Hoe Sung, Kim Jue Ee
National Medical Center, Department of Thoracic Surgery, Ul-Chi Ro, 6-Ka, 18, Chung Ku, Seoul, Korea.
Cardiovasc Dis. 1981 Jun;8(2):187-194.
Pulmonary paragonimiasis is caused by the presence of the oriental lung fluke, Paragonimus westermani, within the lung parenchyma. The disease is indigenous to Korea. In a retrospective review of operative cases from 1972 through July 1979 at the National Medical Center in Seoul, Korea, eleven cases were analyzed. The mean age of the patients was 27 years, and all had a history of ingesting raw crustaceans. Diagnosis was based on history, positive skin test, and radiographic findings. The patients were treated with bithionil before undergoing surgery for severe pleural or pleuroparenchymal lung disease. There was one operative death. Long-term follow-up from 6 to 84 months indicated satisfactory results in ten patients. Our experience with this clinical entity forms the basis of this report.
肺吸虫病是由卫氏并殖吸虫（oriental lung fluke, Paragonimus westermani）寄生于肺实质引起的疾病。该病原产于韩国。回顾性分析了1972年至1979年7月韩国首尔国立医疗中心的手术病例，共分析了11例。患者的平均年龄为27岁，均有食用生甲壳类动物的病史。诊断基于病史、皮肤试验阳性和影像学表现。对于患有严重胸膜或胸膜肺实质疾病的患者，在手术前用硫双二氯酚进行治疗。有1例手术死亡。6至84个月的长期随访表明，10例患者的结果令人满意。我们对这一临床实体的经验构成了本报告的基础。
