肺吸虫病合并慢性阻塞性肺病临床特点分析
Chinese Journal of Control of Endemic Diseases（2020）
Abstract
目的 探究分析肺吸虫病合并慢性阻塞性肺病的临床特点.方法 选择2013年1月至2019年1月在本院因肺吸虫合并COPD而住院或门诊治疗的患者50例,详细记录患者临床资料,临床表现,相关实验室、影像学及病理学检查,对于血清学中寄生虫抗体谱的检查主要由本市疾病预防控制中心协助完成.结果 50例研究对象中主要以咳嗽、咳痰为主要临床表现,占34.0％,其次分别为气促和发热,均占28.0％;包块占16％;50例研究对象,PaO2低于60 mmHg的患者27例,占54.0％,肺动脉压＞35 mmHg的患者19例,占38.0％.肺功能Ⅱ级以上者26例,占52.0％.血常规检查,白细胞数在(10 ～20)×109/L的患者29例,占58.0％,嗜酸性细胞绝对值在(0.53 ～17.4)×109/L的患者44例,占88.0％.其中血清中肺吸虫抗体阳性者21例,占42％,血沉升高者28例,占56.0％,大便中发现虫卵者1例,占2.0％.结论 结合患者饮食习惯、吸烟史及相关特征性临床特点及实验室检查,可以对肺吸虫病合并COPD患者尽可能做到及时诊断,及时治疗,对于提高临床治愈率,改善患者预后及提高生活质量有着重要意义.
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