亚洲儿科病例研究  >> Vol. 1 No. 2 (May 2013)

小儿肺吸虫病误诊误治一例报告分析
A Case Analysis Report of Misdiagnosis and Mistreatment of Pediatric Paragonimiasis Disease

DOI: 10.12677/ACRP.2013.12008, PDF, HTML, XML, 下载: 2,110  浏览: 6,270 

作者: 宋桂华:河南中医学院第一附属医院儿科;张海普:河南中医学院研究生处

关键词: 小儿肺吸虫病误诊误治治疗及预防Infantile Paragonimiasis; Misdiagnosis and Mistreatment; Treatment and Prevention

摘要: 目的:了解小儿肺吸虫病的临床发病特点,探讨小儿肺吸虫病误诊误治的主要原因以及预防措施。方法:通过对1例久治不愈的病例的总结分析,归纳该病的误诊误治的主要原因。结果:患儿反复高热,考虑大叶性肺炎并胸膜积液一直予抗感染治疗,效果欠佳。后反复追问病史,结合实验室检查结果,明确诊断。结论:分析该病例误诊主要原因:入院时未问出生食溪蟹史;嗜酸性粒细胞增高未予特殊重视;影像学检查所示肺部炎性改变无特异性;抗感染治疗症状有好转误导临床;医务人员对肺吸虫病认识相对不足、警惕性不高等。
Abstract: Objective: To understand the characteristics of children with paragonimus disease, to explore the main causes of misdiagnosis and mistreatment of children with paragonimus disease and prevention measures for the disease. Method: Through the analysis of 1 case of stubborn paragonimiasis case, summed up the main reason of misdiagnosis and mistreatment of the disease. Result: Children with recurrent fever, considering lobar pneumonia complicated with pleural effusion, has always given anti-infection treatment, but the effect is poor. After repeated questioning of history, and combined with the results of laboratory examinations, the diagnosis was confirmed. Conclusion: Analysis of the primary causes to the misdiagnosis cases: admission did not ask about eating raw crab history; no special attention to increased eosinophils; the changes of pulmonary inflammatory that imaging examination showed are not specific; the symptoms improved after anti-infection treatment, which misleading clinical judgment; the relative lack of understanding and vigilance of the medical staff of paragonimiasis.

文章引用: 宋桂华, 张海普. 小儿肺吸虫病误诊误治一例报告分析[J]. 亚洲儿科病例研究, 2013, 1(2): 33-35. http://dx.doi.org/10.12677/ACRP.2013.12008