寄生虫-肺吸虫.ppt

paragonimus1.

TypicalcharacterFemalegenitalsystem:OvaryandwombareatthesamelevelonmidlineMalegenitalsystem:2.

Themainparasiteincluding:Paragonimuswestermani2.Paragonimusskrjabini3.Paragonimusheterotremus3.

Paragonimuswestermani4.

OralsuckerVetralsuckerCecumUterusOvaryExcretorybladder1.adultMorphology5.

6.

2.Egg卵盖operculum卵壳eggshell卵细胞ovotid卵黄细胞yolkcell7.

Eggoperculumovotidyolkcell8.

LivecycleAdulteggEggspassintowaterinfecesmiracidiumsporocystcercariaAllthesestagearegrowedinthesnailleavesnailandareeatedBycrabmetacercariaManisinfectivebyeatingtherawcrab.wormWormmovethroughTheinternalorgansadultWorm’smovingway:AbdominalcavityThoraciccavityLungPassthediaphragmaticsurfaceArehatchedintheduodenum9.

10.

11.

Melania12.

CrabCrayfish13.

14.

Attention:1.EctopicparasitismSubcutaneous,liver,brain,spinalcord,eye…..15.

Transporthost:Someparasiteworminvadeabnormalhost,itcannotbecomeadult,itmaintainthewormstage,butwhenithaschancetoinvadenormalhostitbecomeadult,theabnormalhostcalledit.16.

Pathogenesisandclinicalmanifestation1.Acuteperiod(causebyyoungworm)Theyoungworm’sactivitycausethepartialtissueandorgandamaged,bleed,inflamation,thedamagedareabecameaholeandthenleadtothetissueibous,adhesions,particularlytheliver.17.

2.ChronicperiodPathogenesisinlungTheadult’smechanicalspoilAnditssecretionandexcretioninflammationabscesscystWhentheadultdieormoveOtherplaceorthecontentRemoveorbsorbedGranulationtissueformedfibrous18.

ClinicalsymptomThepatientfeelchestdiscomfortcough,hemoptysis(咳血),Sputumisbrown-flake,Eggisoftenfoundinthesputum19.

B.EctopicparasitismSubcutaneous---cystsintheskinBrain---braindiscomfort,epilepsy(癫痫),paralysis(瘫痪)Spinalcord---paresisEye---losesightorvisiondisorderPeritoneum(腹膜)---abdominalpain,diarrhea,blood-stood,enlargingliver20.

21.

Lung’symp