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[合并华支睾吸虫超感染患者的旋毛虫病病程]

[The course of trichinosis in patients with superinvasion opisthorchiasis].

作者信息

Krylov G G

出版信息

Med Parazitol (Mosk). 2004 Oct-Dec(4):43-5.

Abstract

An analysis of the clinical course of trichinosis in the presence of superinvasion opisthorchiasis is indicative of the prognostic value of the time course of changes in eosinophilia in patients: its gradual amelioration during a complex treatment suggests that there is a positive tendency for recovery from the disease; a drastic fall in the level of eosinophils is constantly accompanied by a more severe course of parasitic cenosis with inflammatory complication and a possible fatal outcome. In trichinosis concurrent with superinvasion opisthorchiasis, myocarditis constantly develops at weeks 3-4 of the onset of nematodosis. Prior myocardial changes (focal and diffuse cardiosclerosis) should be considered to be a complication due to superinvasion opisthorchiasis. Trichinosis accompanied by Opisthorchis invasion substantially deteriorates the course of the underlying disease, chronic alcoholic intoxication exalts the course of parasitic cenosis.

摘要

对旋毛虫病合并华支睾吸虫二次感染临床病程的分析表明,患者嗜酸性粒细胞变化的时间进程具有预后价值:在综合治疗期间其逐渐改善表明疾病恢复呈积极趋势;嗜酸性粒细胞水平急剧下降常伴有寄生虫群落更严重的病程及炎症并发症,且可能导致致命后果。在旋毛虫病合并华支睾吸虫二次感染时,心肌炎常在线虫病发病第3 - 4周持续发展。先前的心肌变化(局灶性和弥漫性心肌硬化)应被视为华支睾吸虫二次感染引起的并发症。伴有华支睾吸虫感染的旋毛虫病会显著恶化基础疾病的病程,慢性酒精中毒会加剧寄生虫群落的病程。

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