Stoyanov G, Yaramov N, Damyanov N, Bekova P, Ilieva Y
Department of Surgery, University Hospital "Aleksandrovska" - Sofia.
Khirurgiia (Sofiia). 2011(1):48-60.
We analyze the clinical data and the possible methods for diagnostics of liver echinococcosis. The most common clinical manifestations are: burden, dull or colic pain in right hypochondrium, hepatomegaly plus. Against this clinical picture available eosinophilia is indicative sign in the diagnostic process; echography is binding method in the study. Establish the possibilities of each diagnostic method individually and in combination. It is recommended that the application of ultrasound in combination with the immunological method, which combined in 9/10 of the patients decided to avoid diagnosis and diagnostic polipragmatic approach. The other, considerably more expensive and radiological overdosing methods must be applied in exceptional cases. In every manifestation of allergy must be investigation to exclude the echinococcosis. We highly recommended the introduction in Bulgaria of screening methods for early detection of disease and timely treatment.
我们分析了肝包虫病的临床数据及可能的诊断方法。最常见的临床表现为：负重感、右季肋部钝痛或绞痛、肝肿大等。针对这一临床症状，存在嗜酸性粒细胞增多是诊断过程中的指示性体征；超声检查是该研究中的关键方法。分别确定每种诊断方法单独及联合使用的可能性。建议将超声与免疫方法联合应用，9/10的患者通过这种联合方法避免了诊断和诊断性多管齐下的方法。其他更昂贵且存在辐射过量问题的方法仅在特殊情况下使用。对于每一种过敏表现都必须进行检查以排除包虫病。我们强烈建议在保加利亚引入筛查方法以早期发现疾病并及时治疗。
