摘要
目的探究阳春市阿米巴病的临床特征及诊治结果。方法回顾性分析阳春市中医院2018年1月—2021年1月收治的434例腹泻患者临床资料,采用碘染涂片镜检法检测溶组织内阿米巴感染情况,对患者临床特征、检测过程、诊治结果进行分析。结果434例腹泻患者中检出溶组织内阿米巴原虫病原学阳性15例(3.46%),全部有寒战、高热、咳嗽症状,10例有慢性结肠炎伴黏液便,3例有腹泻、腹痛、肝区疼痛等症状,2例有急性腹泻伴下消化道出血症状;溶组织内阿米巴包囊10例,阿米巴滋养体5例;肠内阿米巴病13例,肠外2例;以慢性结肠炎反复发作而进行检查、治疗导致原发病被掩盖8例;以肠外阿米巴感染为代表的肝脓肿,因病情复杂,诊断为急性肝炎2例;诊断为急性胃肠炎1例;以急性感染发作而被误诊为急性爆发性痢疾4例。15例患者确诊阿米巴病后均采用抗阿米巴药物与临床对症治疗的综合疗法,甲硝唑治疗有效3例,甲硝唑联合黄连素治疗有效10例,甲硝唑联合白头翁灌肠治疗有效2例。结论阳春市中医院近3年腹泻患者溶组织内阿米巴感染情况较为严重,患者全部伴寒战、高热、咳嗽症状,甲硝唑联合黄连素治疗效果较好。
Objective Exploring the Clinical Characteristics and Diagnosis and Treatment Results of Amoebiasis in Yangchun City.Methods The clinical data of 434 patients with diarrhea admitted to Yangchun Hospital of Traditional Chinese Medicine from January 2018 to January 2021 were retrospectively analyzed.Used iodine-stained smear microscopy method to detect the infection of endoamoeba histolytica,Analysis of characteristics,detection process,diagnosis and treatment results.Results Of the 434 patients with diarrhea,15 cases(3.46%)were found to be positive for the etiology of Amoeba in histolytica.All of them had symptoms of chills,high fever,and cough.10 cases had chronic colitis with mucous stools,and 3 cases had diarrhea and abdominal pain,Liver area pain and other symptoms,2 cases had acute diarrhea with lower gastrointestinal bleeding.10 cases of intrahemolytic amoebic cysts,5 cases of amoebic trophozoites.13 cases of enteral amoebiasis,2 cases of parenteral Cases.The primary disease was covered up in 8 cases due to the repeated attacks of chronic colitis.2 cases were diagnosed as acute hepatitis due to the complicated condition of liver abscess represented by extraintestinal amoebic infection.The diagnosis was acute gastroenteritis 1 case.4 cases were misdiagnosed as acute fulminant dysentery due to acute infection attack.After diagnosis,15 patients were treated with a combination of anti-amebic drugs and clinical symptomatic treatment.Metronidazole was effective in 3 cases,metronidazole combined with berberine in 10 cases,and metronidazole combined with Pulsatilla enema in 2 cases.Conclusion In the recent 3 years,the diarrhea patients in Yangchun Hospital of Traditional Chinese Medicine have a serious infection of endoamoeba histolytica.All patients have symptoms of chills,high fever,and cough.Metronidazole combined with berberine is effective in treatment.
作者
吴亮亮
黄伟
温绍云
Wu Liangliang;Huang Wei;Wen Shaoyun(The Traditional Chinese Medicine Hospital of Yangchun City,Yangchun,Guangdong 529500)
出处
《基层医学论坛》
2023年第22期106-108,共3页
The Medical Forum
关键词
腹泻
溶组织内阿米巴感染
临床表现
Diarrhea
Entamoeba histolytica
Clinical manifestations
