肝吸虫2010.ppt

Actute hemorrhagic necrosis of pancreas Influence growth No symptom Clinical manifestation Most of them have no obvious symptom Some feel tiredness ,hepatic enlargement, right upper quadrant mild pain ,abdominal pain ,anorexia, dizziness. When it become serious the patient has ascites , unconscious and will die later. diagnosis Dialogue about case histories: a. Whether come from epedemiologic area b. Whether have the habit of eating raw fresh water fish or shrimp 1.laboratory diagnosis : check egg –sure diagnosis a. Stool examination Direct amear method Nature sedimentation’method Formalin –ether method b. The duodenum secretion examination 2. Immunologic examination Ih test IHA ELISA 3. Ultrasonic wave examination epidemic Local epidemic Infective rate :1%~30%,some are 80% Epidemic area: Japan、Korea 、Vinan 、 Thailand China: Epidemic factor: ( in chinese ,can you read) 由于现代都市人不再满足于鸡鸭鱼肉，转而追求鲜、肥、生猛，因此生鱼片、野味、醉蟹、炝虾、涮火锅等成为许多饭店餐馆的招牌菜。无意之中，许多人染上了寄生虫病，有些曾经是“罕见”的。这些“吃出来的病”被媒体称之为新的“富贵病” 1.Infective resource: patient and carrier , reservoir host 2. Spread way:egg pass into water in feces intermediate host exit ,people have the  habit of eating raw fish or raw shrimb Grilled fish Chopping block Question? Question? Answer : 返回 3.Easy infective people : all people treatment 1.hygiene education Do not eat raw fish or raw shrimb Not let cat eat raw fish or raw shrimb too 2.treat the patient and carrier 3. Not let the feces pass into the fresh-water Now do you still dare to eat the raw fish or raw shrimb ！ ？ * * * * Shenjiqing(申继清)-------jasmine foreword Chaptet49 Trematodes SECTION 1 INTRODUCTION 2. Digestive system： Compose with mouth、 pharynx、esophagus 、cecum MORPHOLOGY 1. SHAPE： Leaf-shape、tong-shape， Oral sucker、ventral sucker 3. Reproductive system： Strong , most of them are hermaphrodite ovary、Uterine t