中国寄生虫学与寄生虫病杂志 ›› 1990, Vol. 8 ›› Issue (1): 41-44.

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安徽人体螨性肺病流行的调查

李朝品,李立   

  1. 华东煤炭医学专科学校寄生虫学教研室; 蚌埠医学院寄生虫学教研室
  • 收稿日期:2017-01-09 修回日期:2017-01-09 出版日期:1990-02-28 发布日期:2017-01-09

HUMAN PULMONARY ACARIASIS IN ANHUI PROVINCE: AN EPIDEMIOLOGICAL SURVEY

  • Received:2017-01-09 Revised:2017-01-09 Online:1990-02-28 Published:2017-01-09

摘要: 为阐明仓贮螨类侵染入肺的情况,在安徽调查从事粮食和中草药贮藏、加工的工作人员924人(男542人,女382人),查出痰螨阳性者49人(男31人,女18人),检出率为5.3%。其中以16~45岁年龄组中的患者最多,占阳性总数的83.7%。其中22例计数嗜酸粒细胞增高大多为(计数320~5050,分类4~48%),X线胸片检查显示肺门阴影增浓,肺纹理增深,部分患者的胸片可见1~5mm的结节状阴影弥散在两肺叶,其症状为咳嗽、咳痰、咳血、胸闷、哮喘、低热、乏力、烦燥、盗汗等。本病的发生有明显的职业性,吸入是主要侵染途径。共发现螨10种,隶属4科8属。即粗脚粉螨(Acarus siro),腐食酪螨(Ty

关键词: 肺疾病, 寄生虫性, 螨感染, 安徽

Abstract: 924 subjects, 542 males and 382 females working in grainstoring, or herb-storing, from different parts of Anhui Province were examined for the possible existence of pulmonary acariasis. 49 cases(5.3%), 31 males and 18 females, were found positive for mites in their sputum. 83.7% of the sufferers aged 16-45. 22 out of the 49 sufferers developed a marked eosinophilia ranging from 4% to 48% and a count of 320-5 050/mm3, wheaeas X-ray films revealed varied degrees of widening lung hilum shadow with increased and disordered lung markings. In some cases, the chest-film showed a lot of scattered ncdular shadows 1-5mm in diameter in the lung lobes. The symptoms presented were cough, expectoration, depression in the chest, restlessness, low fever, asthma, hemoptysis, etc. 10 species of mites were found in the sputum of the 49 sufferers ,i.e. Acarus siro, Tyrophagus putreseltiae, Aleuroglyphus ovatus, Caloglyphus berlesei, C. myoophagus, Dermatophagoides jarinae, D. pteronyssinus, Euroglyphus may-net, Tarsonemus granarius, Cheyletus eruditus.