Bouzid A, Nekmouche L, Benallegue S
Chir Pediatr. 1986;27(1):33-6.
From 1981 to 1983, 112 children have been operated on for hydatidosis, 26 of them presented multifocal hydatid cysts. In half cases the lung was affected, in association with an abdominal affect. In 6 cases it was a bilateral pulmonary localisation. The check-up is essentially with two exams: thoracal radiology, front and side view; and abdominal echography. The hydatic serology confirms the parasitic origin. 40 surgical operations have been necessary for 21 children carried 171 hydatid cysts. The particular characters of the echinococcosis in the childhood authorized surgical technical which, without being radicals, can avoid the long morbidity of this affection. We have to deplore in the period after operation: a small abundance hemoptysis (4 days after operation), 2 lungs abscess (10 and 12 days in postoperative period), a forgotten cyst on the liver, discovered by echography in the 30 days after surgery.
1981年至1983年期间,112名儿童接受了包虫病手术治疗,其中26名儿童患有多灶性包虫囊肿。半数病例肺部受累,并伴有腹部病变。6例为双侧肺部病变。检查主要通过两项检查进行:胸部正侧位X线检查和腹部超声检查。包虫血清学检查可确诊寄生虫感染源。21名携带171个包虫囊肿的儿童中有40例需要进行手术治疗。儿童期棘球蚴病的特殊特征使得手术技术在不彻底切除的情况下,也能避免该疾病的长期发病。术后期间我们不得不遗憾地发现:少量咯血(术后4天)、2例肺脓肿(术后10天和12天)、肝脏上一个被遗漏的囊肿,术后30天通过超声检查发现。