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由带状绦虫幼虫所引起的多房棘球绦虫病,即1863年Leuckart所称的泡性包虫病(AHD),仍是类所有蠕虫病感染中最容易致命的一种,这种绦虫入的地理分布限于北半球,在阿拉斯加。加拿大某些地区、中欧、西伯利亚及日本,与E.granulosus所引起的囊性包虫病不同。 AHD如能早期诊断,应当进行外科治疗;如属晚期病例,其原发肝脏损害酷似肝癌,很多病例也可以手术切除,本文着重强调AHD的临床特征和外科处理。
Echinococcosis caused by tapeworm larvae, known as Leuckart’s ebullated hydatid disease (AHD) in 1863, is still one of the most lethal species of any helminthism infection, and this tapeworm The geographical distribution is limited to the northern hemisphere, in Alaska. In some parts of Canada, Central Europe, Siberia and Japan are different from cystic echinococcosis caused by E.granulosus. AHD, if diagnosed early, should be treated surgically; in advanced cases, primary liver damage resembles liver cancer, and many cases are also resectable. This article emphasizes the clinical features and surgical management of AHD.