中国寄生虫学与寄生虫病杂志 ›› 1985, Vol. 3 ›› Issue (1): 9-11.

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华支睾吸虫病皮内试验的一些观察

曹维霁,胡瑞云,高佩芝,张月清,邵兰,冯曼玲,谭巍,甘绍伯,钟惠澜   

  1. 北京友谊医院、北京热带医学研究所
  • 收稿日期:2017-01-12 修回日期:2017-01-12 出版日期:1985-02-28 发布日期:2017-01-12

SOME OBSERVATIONS ON THE CLONORCHIASIS INTRADERMAL TEST

  • Received:2017-01-12 Revised:2017-01-12 Online:1985-02-28 Published:2017-01-12

摘要: 在本病流行区,对124人用同一抗原在前臂屈面、前臂伸面和后背肩胛间三部位同时做华支睾吸虫病皮试。结果发现三处的皮试阳性率无显著差异,但三处皮试一致阳性者的粪检阳性符合率显著高于仅一处或两处阳性者。三处皮试一致阴性者,均未查见华支睾吸虫卵。对100例7年前做过华支睾吸虫皮试者进行复查,结果表明华支睾吸虫感染经治愈7年后,多数病例的原有皮试反应已由阳性转为阴性,而在未经治疗和治疗未愈的病例,7年后多仍为阳性。

关键词: 华支睾吸虫病, 皮内试验, 吸虫卵, 皮试阳性率, 热带医学, 北京友谊医院, 日本血吸虫病, 阳性符合率, 不同部位, 粪检

Abstract: This paper deals with the site of Clonotchis worm antigen skin test and the duration of positive skin reaction studied during surveys on clonorchiasis in the suburbs of Beijing. The results are as follows:1. In 124 inhabitants in an endemic area, intradermal tests with the same Clonor-chis antigen were performed on 3 different sites of the skin at the same time, namely the flexor surface of forearm, the extensor surface of forearm and the interscapular region on the back. After statistic treatment, the skin positive rates among 3 sites showed no significant difference, but the ova positive rate was much higher in persons with positive reaction in all 3 sites than in those with positive reaction in only 1 or 2 sites. No case of ova positive was found in those who were negative in all 3 skin sites.2. 100 persons were re-examined 7 years later by the same method with the same antigen. It revealed that following the cure of Clonorchis infections with proper treatment, the original positive skin reaction in most cases had changed to negative, while in most untreated or treated but not cured cases, the skin test remained positive.