中国寄生虫学与寄生虫病杂志 ›› 1998, Vol. 16 ›› Issue (5): 384-387.

• 防治经验 • 上一篇    下一篇

淮河水系尾蚴性皮炎流行病学调查初报

李朝品; 马长玲; 顾建中; 卢王英   

  1. 淮南矿业学院医学分院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1998-10-31 发布日期:1998-10-31

AN EPIDEMIOLOGICAL SURVEY OF SCHISTOSOME CERCARIAL DERMATITIS AMONG THE RESIDENTS LIVING ALONG THE BANKS OF THE HUAIHE RIVER SYSTEM

Li Chaopin; Ma Changling; Gu Jianzhong; Lu Wangying   

  1. Huainan Mining Institute Medical College Huainan; Auhui 232001
  • Received:1900-01-01 Revised:1900-01-01 Online:1998-10-31 Published:1998-10-31

摘要: 目的:调查淮河水系沿岸村镇居民中有否尾蚴性皮炎流行。方法:对淮河水系沿岸部分村镇居民作现场查询和体检,以确定有无该皮炎表现及伴随症状;现场采集耳萝卜螺(Radixau-ricularia)用直接压片法分离尾蚴,并用此尾蚴感染雏鸭;采集河岸渔场渔民养殖家鸭的粪便,分别用水洗沉淀法分离虫卵和用毛蚴孵化法分离毛蚴,并用此毛蚴感染实验室养殖的耳萝卜螺;解剖购于当地渔民放养的家鸭及人工实验感染的雏鸭分离成虫。结果:沿岸农户及渔民下到鸭活动的水体后可引起“鸭瘙”(duckitch),即在胸腹部及下肢等处皮肤可见弥漫性突出皮肤的红色丘疹,周围有红晕,并可见成片风疹团,患处刺痒或奇痒。从现场捕获的耳萝卜螺体内可分离到有眼点的叉尾蚴,经鉴定为毛毕属吸虫尾蚴。从渔民养殖家鸭的粪便内分离到菱形卵和新月形卵,且均可孵出毛蚴,用此毛蚴感染实验室内养殖的耳萝卜螺,可获与上述形态相同的有眼点的叉尾蚴。解剖上述两个不同来源的家鸭,均可获毛毕吸虫成虫。以上所获的虫卵、毛蚴、尾蚴和成虫经鉴定均为毛毕属吸虫某一生活期。结论:淮河水系有尾蚴性皮炎流行,其病原为毛毕属吸虫尾蚴。

关键词: 淮河, 毛毕属吸虫, 尾蚴性皮炎

Abstract: AIM: To make an epidemiological survey of schistosome cercarial dermatitis among
the residents living along the banks of the Huaihe River. METHODS: Making inquiries about signs
and symptoms of schistosome cercarial dermatitis, and physical examinations of manifestation in
the residents (fishermen and peasants). Cercariae shed from the Radix auricularia collected in
the field were used to infect ducklings. The eggs and miracidia separated from the feces of the
full grown ducks bred by fishermen were used to infect Radix auricularia. RESULTS: Schistosome dermatitis locally known as“duck itch”(meaning duck-feces-dermatitis) was discovered among the residents living along the Huaihe River bank. The main signs and symptoms of the dermatitis included diffuse erythema or red papular eruption with areorae、urticae、urticant itch or titillation around the affected areas ( including thoracic part, abdomen and lower limbs etc). The cercariae with eye spot were found from Radix auricularia collected from Huaihe riverside and were identified to be the species of Trichobilharzia can both hatch miracidium , which laboratory-reared Radix auricularia were infected with miracidia hatched from the two types of eggs, rhomboid eggs and crescent eggs, found in the feces of full grown ducks bred by fishermen and shed the same cereariae with eye spot. Besides, adult worms of Trichobiharzia were obtained by disecting both experimentally infected duckilings bred in the laboratory and naturally infected ducks bred in the Huaihe riverside area. The above-mentioned eggs, miracidia, cercariae and adult worms were all identified to belong to the life-phase of Trichobilharzia. CONCLUSION: The epidemic disease known as schistosoma cercarial dermatitis harmful to the health of the residents living along the banks of Huaihe River is caused by the cercariae of Trichobilharzia.

Key words: Huaihe river, Trichobilharzia, schistosome cercarial dermatitis