Romero-Cabello R, Godínez-Hana L, Gutiérrez-Quiroz M
Unidad de Pediatri a, Hospital General de México.
Bol Med Hosp Infant Mex. 1991 Feb;48(2):101-5.
The present integral clinical and laboratory study was carried out in 325 children infected with Hymenolepis nana. Results showed that H. nana is found among the top five intestinal parasitosis in school children in Mexico City, in the majority of the cases associated with protozoans and other helminths, especially and with Giardia lamblia. Although the amount of parasites found is small, the clinical manifestations vary very little with larger amounts. The most important and more constant clinical manifestations in those solely infected with H. nana and with other combinations are: abdominal pain, hyporexia and irritability. We have seen that in patients infected solely with H. nana, there is weight loss, meteorism and flatulences. In those associated with G. lamblia, diarrhea is one of the most frequent manifestations. Hymenolepiasis is an important disease in our environment due to its high frequency among pre-school and school children and its constant identifiable clinical manifestations.
本综合临床与实验室研究对325名感染微小膜壳绦虫的儿童进行。结果显示，微小膜壳绦虫在墨西哥城学童肠道寄生虫病中位列前五，大多数病例与原生动物及其他蠕虫有关，尤其是与蓝氏贾第鞭毛虫有关。虽然发现的寄生虫数量较少，但大量寄生虫时临床表现差异不大。单纯感染微小膜壳绦虫以及与其他寄生虫合并感染时，最重要且较常见的临床表现为：腹痛、食欲减退和易激惹。我们发现，单纯感染微小膜壳绦虫的患者会出现体重减轻、腹胀和气胀。与蓝氏贾第鞭毛虫合并感染的患者中，腹泻是最常见的表现之一。由于微小膜壳绦虫病在学龄前和学龄儿童中发病率高且有可识别的临床表现，所以在我们的环境中是一种重要疾病。
