中国寄生虫学与寄生虫病杂志 ›› 2002, Vol. 20 ›› Issue (3): 15-179.

• 临床研究 • 上一篇    下一篇

食物源性脑寄生虫病住院病例分析

尹春煜,石尧忠
  

  1. 复旦大学附属华山医院传染病教研组 上海200040
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2002-06-30 发布日期:2002-06-30

Investigation of Inpatient Cases of Food-borne Parasitic Encephalopathy

YIN Chun yu;SHI Yao zhong   

  1. Department of Infectious Diseases;Affiliated Huashan Hospital of Fudan University;Shanghai 200040
  • Received:1900-01-01 Revised:1900-01-01 Online:2002-06-30 Published:2002-06-30

摘要:   目的 了解食物源性脑寄生虫病的临床特点。 方法 用表格的形式对我院近 5年来出院时诊断为食物源性脑寄生虫病的住院病例的临床资料进行总结。 结果 共调查出院病史 1 90份 ,确认非重复的病例 1 1 5例 ,男 73例 ,女 42例 ,男女比例为 1 .74∶1。有生食史的占 2 0 .9% (2 4 / 1 1 5) ,出院诊断为脑囊尾蚴病的占 92 .2 % (1 0 6/ 1 1 5) ,脑并殖吸虫病占 3 .5 % (4/ 1 1 5) ,脑裂头蚴病占 2 .6 % (3/ 1 1 5) ,脑广州管圆线虫病、棘颚口线虫病各占 0 .9% (1 / 1 1 5)。住院次数在 2次以内的占 86 .1 % (99/ 1 1 5) ,3次以上的占 1 3 .9% (1 6/ 1 1 5)。 结论 应进一步重视食物源性脑寄生虫病

关键词: 食物源性寄生虫病, 脑病, 脑囊尾蚴病

Abstract:  Objective To investigate the clinical features of the patients with encephalopathy caused by food borne parasites. Methods Questionnairing was carried out to collect and analyze clinical data of cerebral form of food borne parasitic diseases in the hospital during the past five years. Results Among 190 discharged medical histories, 115 cases were valid for investigation, the number of males was 73, females 42, with a ratio of 1.74∶1. Among these patients, 20.9% (24/115) had a history of eating raw meat. For discharge diagnosis, neurocysticercosis accounted for 92.2% (106/115),cerebral paragonimiasis 3.5% (4/115), sparganosis 2.6% (3/115), and angiostrongyliasis cantonensis and gnathostomiasis 0.9%(1/115) each. 13.9% (16/115) of the patients were hospitalized for three times or more. Conclusion More attention should be paid to food borne parasitic encephalopathy.

Key words: food borne parasitic disease, encephalopathy, neurocysticercosis