【医学ppt课件】吸虫概述.ppt

五、流行 (Epidemiology) 1. 分布 我国的24个省市流行, 世界上越南、韩国等。 2. 引起流行的因素 生吃鱼、虾的习惯，中间宿主普遍，人粪便为鱼饲料 ?1. The liver fluke occurs in far East 2. Source of infection: man, dog, cat… 3. The mode of rearing fishes favourable for their contamination 4. Social habits and custom favourable for the transmission of the parasite 六、防治 (Treatment Prevention) 1. 卫生宣教 cooking of all freshwater fish 2. 粪便管理 3. 治疗病人 Praziquantel是目前唯一的用于治疗的有效药物 Praziquantel is the drug of choice for treatment, 25 mg/ kg tid for 2 days. It has very few or limited side effects. public health education 肺吸虫 (Paragonimus westermani) ?学名卫氏并殖吸虫，主要寄生于人的肺脏， 引起肺吸虫病(paragonimiasis)。 世界性分布，致病的有7-8种， 根据其引起病变的 主要部位和临床症状，分主要两种类型： 卫氏并殖吸虫── 肺型并殖吸虫病 斯氏狸殖吸虫── 皮下型并殖吸虫病 The Genus Paragonimus comprises almost 40 reported species. At least 8 different species are known to infect humans and cause paragoimiasis or the lung fluke disease. Paragonimus westermani is the most important one in our country. 一、形态 (Morphology) 1.成虫 睾丸一对分支， 左右并列，卵巢也分支 与子宫并列。 Adult: 8-16 by 4-8 mm Suckers of equal size, The loded ovary at the same level as the tightly coiled uterus lies anterior to testes 2.虫卵 Egg: Brownish eggs contain 5-12 irregularly arranged Yolk cells. An obvious terminal shell thickening is located on the end opposite the operculum. 二、生活史 成虫 卵 毛蚴 胞蚴 母雷蚴 子雷蚴 尾蚴 童虫 囊蚴 1.在终宿主体内寄生 (1)虫体进入终宿主，在终宿主体内移行及寄生； (2)虫卵的产出及其去向； 2.在中间宿主体内的发育和繁殖 Paired adult worm is usually found encapsulated in the bronchioles of the host’ s lung tissue Eggs are discharged and may appear in the sputum or feces Once the egg reaches water, several weeks are required for the miracidium to develop 2-3 wk 入水 钻 入 移行途径 经口 Following penetration of the snail host metanmorphsis into a sporocyst, two re