人体寄生虫学：04 临床八年钩虫、旋毛虫、丝虫.pptVIP

1.Stoolexamsforthediagnosisofascariasistypicallyincludes:革兰染色B.抗酸染色生理盐水涂片D.厚血片E.棉签拭子2.Heavyinfectionwiththisparasitemayresultindysenteryandrectalprolapsed:roundwormB.hookwormC.whipworm

D.pinwormE.nothingofabove3.Childrenatday-carecentersinthedevelopedcityhaveahighrateofinfectionwithwhichoneofthefollowing:A.AscarislumbricoidesB.EnterobiusvermicularisC.AncylostomaduodenaleD.BlastocystishominisE.Brugiamalayi4.Eachofthefollowingparasitespassesthroughthelungduringhumaninfection,exceptA.似蚓蛔线虫B.美洲板口线虫C.?旋毛虫D.蛲虫E.马来丝虫5.什么是夜现周期性Quiz:*********淋巴(结)管炎增生性肉芽肿纤维化(纤维组织增生)1.淋巴液肿(1)????象皮肿(elephantiasis)(2)????睾丸鞘膜积液(hydroceletestis)2.乳糜尿(chyluria)管道阻塞压力↑曲张破裂液体外溢DiagnosisDemonstrationofmicrofilariainperipheralblood(血检)Detectedmicrofilariainotherspecimens(体液和尿液检查微丝蚴)thickbloodfilm-----detectedmicrofilariaelysedbloodcheck-----concentratedExaminationofaspiration(induction)Detectedadultworminbiopsyspecimens(成虫检查:直接或以活检)Detectedantibodytofilarialantigensbyserologicaltestordetectedfilarialantigensinbloodbyserologicaltest(血清学检查)mAb,ELISA,PCREpidemiologyDistribution：世界性分布W.bancroftiisworldwidedistributedB.malayiisrestrictedtoAsia1.传染源Sourceofinfection:patients,infectedpersons2.传播媒介蚊是主要传播媒介，主要蚊媒如下：Transmission:mosquitoCulexAnopheles,Aedes淡色库蚊致倦库蚊嗜人按蚊中华按蚊东乡伊蚊W.bancrofti:B.malayi3.易感人群4.影响因素TreatmentPrevention普查普治海群生diethylcarbamzine(DEC)hetragan治疗Diethylcarbamazine(hetrazan)isthefirstchoiceintreatmentoffilarialworm.Asingle-dosetreatmentofivermectinplusDECh