绦囊虫病.pptVIP

Children and pigs in the village of Huancyao in Peru, an area of high cysticercosis transmission 预防 管理传染原：治疗病人 防止猪牛的感染 切断传播途径：含囊尾蚴的肉 囊虫病 Cysticercosis 病原学 猪囊尾蚴 流行病学 传染源 Patients with T. Solium 传播途径 accidental ingestion of eggs from patients harbouring the adult worm retro-infection 人群易感性 流行情况 临床表现 脑囊虫病 皮下及肌肉囊虫病 眼囊虫病 其他 诊断 Blood CSF Immunological test X ray CT MRI Biopsy 治疗 阿苯达唑（Albendazole） 18-20mg/kg/day,10 吡喹酮（pyquiton） 40-60mg/kg/day, 3 甘露醇 镇静药 注意事项 预防 驱绦灭囊 禁止米猪肉上市 粪便管理 * * * Intestinal Taeniasis and cysticercosis 肠绦虫病 Intestinal Taeniasis 病原学 猪带绦虫 Taenia solium 牛带绦虫 Taenia saginata 短膜壳绦虫 Hymenolepis nana 长膜壳绦虫 Hymenolepis diminuta 阔节裂头绦虫 Diphyllobothrium latum 犬复孔绦虫 Dipylidium caninum Morphology Adult tapeworms have three major parts: The scolex The neck The proglottids tegument microvilli Two muscle layers The nervous system The excretory system There is no digestive system Male and female gonads Morphology of proglottids Characteristics of T.saginata and T. solium T. saginata T. Solium scolex big small square ball 4 suckers 4 suckers no hooks rostellum with hooks Segment 1000-2000 1000 Length 4-8m 2-4m Egg radially striate radially striate Mature segment Ovary 2 large lobes 1 small and 2 large Gravid segment Uterine branch 15-30 7-12 Life cycle Epidemiology 传染源：病人 传播途径：食入 人群易感性：普遍 流行情况： Pathogenesis obstruction tissue invasion Clinical Picture subclinical The finding of p