Ben-Ismaïl M, Fourati M, Bousnina A, Zouari F, Lacronique J
Arch Mal Coeur Vaiss. 1977 Feb;70(2):119-27.
The authors report 9 cases of hydatic cyst of the heart which they have encountered over an 8 year period. They illustrate the variable nature of this parastic illness, which may stimulate almost and cardiovascular disorder. The various clinical presentations and the methods of diagnosis and treatment are presented: the clinical picture is of little help in establishing the diagnosis. This is made at three levels: the history (country of origin where the disease is endemic, or other associated cyst), the presence of Xray of a swelling of the heart which is later calcified, and the presence on the electrocardiograph of ischaemic changes, which may be severe enough for necrosis. They emphasise the importance of serological tests to make a formal diagnosis of the condition, and a repetition of such tests as part of the postoperative follow-up. Surgical treatment (usually by an open heart technique) is the rule. It may be coupled with medical treatment with anti-malarials (paludrin of flavoquin).
作者报告了他们在8年期间遇到的9例心脏棘球蚴囊肿病例。他们阐述了这种寄生虫病的多变性质，它几乎可以引发任何心血管疾病。文中介绍了各种临床表现以及诊断和治疗方法：临床表现对确诊帮助不大。诊断需从三个层面进行：病史（疾病流行的原产国或其他相关囊肿）、心脏肿大的X线表现（后期会钙化）以及心电图上出现的缺血性改变（可能严重到足以导致坏死）。他们强调血清学检测对于正式诊断该病的重要性，以及在术后随访中重复进行此类检测的必要性。手术治疗（通常采用心脏直视技术）是常规治疗方法。它可能会结合使用抗疟药（扑疟喹啉或氟喹）进行药物治疗。
