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

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.