姜片虫和肺吸虫英语.pptVIP

Diagnosis Make sure whether the patient has the habit Of eating the raw crab 1. examination Use the water sedimentation method to find the egg in the feces Use the direct smear method to find the egg in the sputum 2. X-ray ,CT for the pleura and brain-spinal cord’s patient 3.immuniology examination For the ectopic parasitism Method: AST, ELISA, AST-ELISA Epidemiology Characteristic: parasitic zoonoses Paragonimiasis infect the wile animal in the nature, when human being come into the area he will be infected. Paragonimiasis had ever taken place in Japan ,Korea, Russia Epidemic factors 1. infective source: A. Reservoir host: fox, wolf, leopard,cat dog etc. B. Patients 2. Intermediate host : the snail or the crab 3. Infective way: A. eat the raw crab or “drunk crab” B. drink the unboiling water Eat the raw crab Drink the unboiling water Prevention and control Do not eat the raw crab, not to drink the unboiling water 2. Treat the patient: Pagumogonimus skrjabini Morphology 1. adult Shape :olive Sucker:ventral sucker is larger than oral sucker Testes and ovary have more lobation 2. egg similar to paragonimus westermuni Live cycle Essential similar to paragonimus westermuni The different from it is that: 1. Definitive host: fruit-eating fox (the main) Human : abnormal host ,only young worm infect them. 2. the No.1 intermediate host: The snail which grow in the small stream Pathogenesis clinical manifestations: 1. larva migrans: some parasite invade human being ,human is not the normal host ,it only stay in the stage of young worm ,the young worm parasite and migration in the body for a long time ,at last it cause particular and general pathologic change. Clinical symptom: 1.subcutaneous type: cysts Area: back and abdomen, four limbs, inguinal region, head and neck 2. Internal organ: differ from what it invade the organ Diagnosis 1. Biopsy: 2. Immunologic test E