人体寄生虫学：旋毛虫丝虫.pptVIP

**2.流行因素（1）传染源infectivesource（微丝蚴密度5条/60μl)病人慢性病人acuteandchronic？带虫者carrier（2）传播媒介vector世界各地报道蚊媒30多种淡色库蚊、致倦库蚊culex——班氏丝虫嗜人按蚊、中华按蚊anopheles——马来丝虫我国东南沿海地区媒介为东乡伊蚊。（3）易感人群susceptiblepopulation（4）自然因素naturalfactor感染季节5～10月（5）社会因素socialfactor我国**防治PreventionandTreatment1、普查普治popularization1岁以上居民接受血检（95％受检率），阳性者治疗治疗病人treatment：首选药物：海群生(hetrazan)（乙胺嗪）其他药物：呋喃嘧酮Furapyrimidone伊维菌素Ivermectin(IVM)**预防措施prevention：药盐疗法0.3%medicalsaltofhetrazan：0.3%海群生掺拌食盐（流行区）对慢性病人：象皮肿病人——烘绑疗法Pressingbandaging阴囊象皮肿、鞘膜积液者——手术Surgicalremoval中医疗法Chinesemedicineuse2、防蚊灭蚊Mosquitocontrol**监测工作Epidemiologicalsurvey人群监测普查血检受检人数需达到流行

populationsurvey区总人口3%以上和流行乡镇的

30%以上原微丝蚴血症人群监测（1次/年）流动人口血检监测蚊媒监测捕捉当地媒介蚊种，解剖蚊子检

mosquitosurvey查有无丝虫幼虫血清学监测ELISASerologicsurvey巩固防治成果Simultaneousfilarialinfectionofthepleuraandbreast-----casereportA30-year-oldwomanpresentedwithaswellingintheleftbreastof4monthsduration,andleft-sidedchestpain,occasionaldrycoughandbreathlessnessonexertionforthepast3weeks.Thebreastlumpwas3x2cminsize,locatedintheupperinnerquadrantoftheleftbreast.Itwasslightlytendertothetouch,firminconsistencyandfixed,andtheoverlyingskinwasnormal.Physicalexaminationofthechestsuggestedaleft-sidedpleuraleffusion.**Peripheralbloodexaminationshowedeosinophilia(eosinophils18%,andabsoluteeosinophilcount1296/[micro]l).Pleuralaspirateshowedanexudativepattern,andcytologicalexaminationrevealedapredominanceoflymphocytes,feweosino