中国寄生虫学与寄生虫病杂志 ›› 1989, Vol. 7 ›› Issue (2): 115-118.
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毛世春,叶绪昌,刘建雄,张继伟
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摘要: 本文报告25例脑型血吸虫病,经CT脑扫描,脑血吸虫卵肉芽肿呈现高密度强化块影,在肉芽肿周围及附近白质水肿显示低密度影像。CT影像结合疫水接触史及临床和免疫诊断检查,能作出正确定位和定性诊断.分析了CT表现与临床病理的关系。在总结经验基础上对治疗选择进行了探讨。通过CT脑扫描追踪观察,提示脑型血吸虫病,经吡喹酮化疗,病变可逆转,脑血吸虫卵肉芽肿和脑水肿可消失。
关键词: 脑型血吸虫病, 肉芽肿, CT脑扫描, 诊断和定位, 完全性偏瘫, 临床病理, CT影像, 免疫诊断, 全身性, 脑水肿
Abstract: CT scanning was performed on 25 cases of cerebral schistosomiasis. The images of the granuloma caused by schistosome eggs showed a high density mass shadow while the edema of the white matter showed a low density shadow. Combining CT scanning, with case history, clinical signs and immunologic assay we could make a correct diagnosis for each of the patients about the pathologic site and nature. The correlations between the images of CT scanning and clinical pathology were analysed and a better treatment regimen was discussed based on our experience. Some of the patients treated with praziquantel and checked by CT scanning showed pathologie changes of the granuloma disappeared during a follow-up period of 3-12 months.
毛世春,叶绪昌,刘建雄,张继伟. CT脑扫描对脑型血吸虫病的诊断和定位[J]. 中国寄生虫学与寄生虫病杂志, 1989, 7(2): 115-118.
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https://www.jsczz.cn/CN/Y1989/V7/I2/115