Sersar Sameh Ibrahim, Elnahas Hala Ahmed, Saleh Abdel Basset Mohammed, Moussa Sherif Abdou, Ghafar Wael A Abdel
Cardiothoracic Surgery Department, Mansoura University, Mansoura, Dakahlia 35516, Egypt.
Heart Lung Circ. 2006 Feb;15(1):24-9. doi: 10.1016/j.hlc.2005.04.004. Epub 2005 Aug 25.
The aim of this study is to review the problems encountered in treating pulmonary hydatid and bilharsiasis and to highlight the risks associated with chemotherapy and the delay of their surgical treatment.
The medical records of 60 patients with pulmonary hydatid and bilharsiasis were retrospectively investigated. The patients were divided into two groups based on whether the parasite was hydatid (group 1, n=56) or schistosomiasis (group 2, n=4). The group 1 was divided into group 1a (complicated cyst n=32) and group 1b (n=24 noncomplicated hydatids).
In all cases of pulmonary bilharsiasis and intact pulmonary hydatid cysts, the lesions were either incidental findings or the patient had presented with haemoptysis, cough, dyspnea and chest pain. The differences between the groups with respect to the rates of preoperative complications and postoperative morbidity, frequency of decortication and hospital stay were statistically insignificant (p>0.05).
Complicated cases have higher rates of preoperative and postoperative complications but the differences are insignificant. Complicated cases are easier to diagnose. This underlines the need for paying more attention to the possibility of pulmonary parasitosis especially in lower lobe lesions in endemic areas.
本研究旨在回顾治疗肺包虫病和血吸虫病时遇到的问题，并强调化疗相关风险以及手术治疗延迟的情况。
回顾性调查60例肺包虫病和血吸虫病患者的病历。根据寄生虫是包虫（第1组，n = 56）还是血吸虫（第2组，n = 4）将患者分为两组。第1组又分为1a组（复杂囊肿，n = 32）和1b组（n = 24非复杂包虫）。
在所有肺血吸虫病和完整肺包虫囊肿病例中，病变要么是偶然发现，要么患者出现咯血、咳嗽、呼吸困难和胸痛。各组在术前并发症发生率、术后发病率、剥脱术频率和住院时间方面的差异无统计学意义（p>0.05）。
复杂病例的术前和术后并发症发生率较高，但差异不显著。复杂病例更容易诊断。这突出了在流行地区尤其要更加关注肺寄生虫病的可能性，特别是在下叶病变中。
