人体寄生虫学：吸虫概述，肝吸虫姜片虫肺吸虫.pptVIP

**Brainformwithparagonimiasis流行区的脑型肺吸虫病病人可多达2%～5%，尤其以儿童及青少年多见。**Brainformofparagonimaisis**腹型abdominalform**眼型Eyeform诊断diagnosis**病史history1.病原学诊断1)痰：NaOH消化，取沉淀物作涂片烂桃样血痰（直接涂片法）夏科—雷登氏晶体Charcot—Leydencrystals并殖吸虫病的标准WS380-2012**2)粪：直接涂片法directlysmear沉淀法sedimentation3)活组织检查：皮下包块活检biopsy2、免疫学诊断immunologicmethods3、分子生物学诊断molecular-biologicaldiagnosis4、影像诊断及血检imageandbloodtest血检:WBC总数2万/mm3嗜酸性白细胞30-40%流行epidemiology**分布流行因素：传染源:保虫宿主多（猫、狗、虎、豹…）中间宿主存在：川卷螺，溪蟹、喇蛄，饮食习惯：醉蟹、生食、喇蛄豆腐等水源污染及食具等饮食及风俗习惯**“蝲蛄豆腐”,这可是城里人烹不出做不出的菜。先用水将蝲蛄洗净，然后揭盖去皮，放进石磨，磨出汁来后，用沙布过滤去渣，将原汁倒进滚开的锅里，蝲蛄汁立刻变成了脑儿，一朵一朵的，鲜红的是蝲蛄肉，金黄的是蝲蛄黄，翠绿的是韭菜末。可谓异彩奇花，鲜嫩可口，令人赞叹不止。能做出这美味佳看的一定是高级美食家，岂不知，这种美食家在长白山里到处都是，几乎家家都会做**烹饪方法：河蟹的食法很多，不仅有蒸、炒、面拖等吃防治**饮食卫生dietetichygiene保持良好风俗习惯custom治疗病人chemotherapy吡喹酮，对于脑型和较重病人要住院治疗或手术治疗Casereport**An111/2-year-oldHmongLaotianboywasbroughtintotheemergencyroombyhisparentswitha2-to3-monthhistoryofdecreasingstaminaandincreasingdyspnea[shortnessofbreath]onexertion.Hedescribedanintermittentnonproductivecoughanddecreasedappetiteandwasthoughttohavelostweight.Hedeniedfever,chills,nightsweats,headache,palpitations,hemoptysis[coughingupblood],chestpain,vomiting,diarrheaorurticaria[skinrashnotablefordarkred,raised,itchybumps].**Therewerenopetsathome.AtthetimeofimmigrationtotheUnitedStates16monthsearlier,allfamilymembershadnegativetuberculinpurifiedproteinderivativeintradermaltestsexceptonebrother,whowaspositivebuthadanormalchestradiographandsubsequentlyreceivedisoniazidfor12months.Aleftlateralthoracotomywasperformedduringwhich1800mlofanodorless,cloudy,peasoup-likefluidcontainingapaleyellow,cottagechee