贵港市77例华支睾吸虫病临床流行病学分析

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目的了解贵港市华支睾吸虫病临床病例流行病学特点。方法疑似华支睾吸虫病例采当天第一次粪便30~50g,用水洗自然沉淀集卵法镜检虫卵,虫卵阳性者用Stoll法计数克粪虫卵数(EPG)划分感染度。结果确诊77例,重度感染13例,中度感染34例,轻度感染30例。年龄17~74岁,以40~49岁年龄组病例最多28例;男性占94.81%;工薪群体占62.34%;汉族占81.82%;市区占61.04%,农村占38.96%,50%的乡镇有病例。有并发症或合并症41例,占53.25%。有食鱼生史者占97.40%;从首次食鱼生至确诊时间,最短20天,最长53年。结论贵港市华支睾吸虫病以男性为主,随年龄增长增多,60岁后病例减少,市区病例呈上升趋势。 Objective To understand the epidemiological characteristics of clinical cases of Clonorchiasis sinensis in Guigang City. Methods Suspected Clonorchiasis cases took 30 ~ 50g of feces for the first time on the same day. The eggs were naturally sedimented with water to scrutinize the eggs. The eggs were positive for Staphylococcus aureus and were counted for the degree of infection. The results confirmed 77 cases, 13 cases of severe infection, 34 cases of moderate infection, mild infection in 30 cases. The age ranged from 17 to 74 years, with a maximum of 28 cases in the 40-49 age group; 94.81% were male; 62.34% were working-wage groups; 81.82% were Han nationality; 61.04% were in urban areas; 38.96% were rural areas; and 50% Case. There are 41 cases of complications or complications, accounting for 53.25%. A history of eating fish accounted for 97.40%; from the first fish students to the diagnosis of the time, the shortest 20 days, up to 53 years. Conclusion Clonorchiasis is predominantly male in Guigang City, which increases with age and decreases after 60 years of age. The incidence of urban Clinics is on the rise.
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