Iorga Cristian, Strâmbu Victor, Puşcu Cristina, Stoian Silviu, Radu Petru, Popa Florian
Clinica Chirurgie, Spitalul Clinic de Urgenţă Sfântul Pantelimon Bucureşti.
Pneumologia. 2011 Jan-Mar;60(1):51-3.
We present the case of a patient diagnosed in our clinic with pulmonary hydatid cyst, the discovery being incidental, during the investigations for a febrile syndrome accompanied by cough and thoracic pain. Pulmonary Hydatidosis is a disease caused by the location and growing inside the lungs of larval form of Taenia echinococcus granulosus, the way of infection is digestive. Hydatid cyst is a rare pathology, the incidence is higher in some populations related to professions such as sheep or goat raising. Pulmonary cyst diagnosis is made by imagistic methods (chest x-ray, CT, MRI) and bio-umoral methods (white cell count, specific serology), anamnesis and clinical exam can be inconclusive. The treatment of the hydatid cyst is surgical, medical treatment (antibiotic, parasiticid) has some specific indication. We administer antibiotics when we have bacterial suprainfection and parasiticid postoperatively for preventing recurrences or when we suspect rupture of the cyst. From the surgical methods cystectomy followed by capitonnage of the residual cavity (Dor procedure) is to be chosen, so that this fulfills the objectives of removing the cyst and treating the residual cavity with preserving as much as possible from the lung tissue.
我们报告一例在我院被诊断为肺包虫囊肿的患者，该病例是在对伴有咳嗽和胸痛的发热综合征进行检查时偶然发现的。肺包虫病是一种由细粒棘球绦虫幼虫在肺内寄生和生长引起的疾病，感染途径为消化道。包虫囊肿是一种罕见的病理情况，在一些与牧羊或养羊等职业相关的人群中发病率较高。肺囊肿的诊断通过影像学方法（胸部X光、CT、MRI）和生物体液方法（白细胞计数、特异性血清学检查）进行，病史和临床检查可能无法得出明确结论。包虫囊肿的治疗是手术治疗，药物治疗（抗生素、抗寄生虫药）有一些特定指征。当发生细菌重叠感染时我们使用抗生素，术后使用抗寄生虫药以预防复发或在怀疑囊肿破裂时使用。从手术方法来看，应选择囊肿切除术并对残余腔隙进行缝合（Dor手术），这样既能实现切除囊肿的目标，又能在尽可能保留肺组织的情况下处理残余腔隙。
