[87例肝片形吸虫的临床及治疗行为分析]。

Q4 Medicine Revista Cubana de Medicina Tropical Pub Date : 2011-09-01
René Díaz Fernández, Madelyn Garcés Martínez, Leslie M Millán Alvarez, Jorge Pérez Lastre, Juan Carlos Millán Marcelo
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引用次数: 0

摘要

近年来,肝片形吸虫引起的片形吸虫病在世界范围内的发病率呈上升趋势。古巴是报告了零星病例和一些片吸虫病暴发的国家之一。目的:描述1996年1月至2005年12月在Pedro Kourí热带医学研究所收治的87例患者的临床和治疗特点。方法:将患者按处方药物分为两组,分别为三氯咪唑和二氢艾美汀。收集诊断时和治疗后90天的临床变量;估计平均值和标准差。结果:在我们的系列患者中,男性略占优势(54例)。几乎有一半的患者食用西洋菜(旱金莲)。腹痛、发热和不适是最常见的症状。这两种药物对治疗肝原体均有效。结论:本研究显示实验室检查对诊断和治疗后患者随访的有用性。本研究证明抗寄生虫药物二氢艾美汀和三氯咪唑在规定剂量下有效,不良反应轻微。
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[Clinical and therapeutic behaviour of Fasciola hepatica in a series of 87 patients].

Introduction: in the last few years, the Incidence rate of fascioliosis caused by Fasciola hepatica has increased worldwide. Cuba is one of the countries that have reported sporadic cases and also some outbreaks of fasciolosis.

Objective: to describe clinical and therapeutic features of this trematodiasis of digestive transmission found in 87 patients, who had been admitted to "Pedro Kourí" Institute of Tropical Medicine from January 1996 to December 2005.

Methods: patients were divided into 2 groups according to the prescribed drug, that is, triclabendazole and dihydroemetine. The clinical variables were collected at the time of diagnosis and 90 days after treatment; the means and the standard deviation were estimated.

Results: males was slightly predominant (54) in our series of patients admitted to the institute service. Consumption of watercress (Nasturtium officinale) was found in almost half of the patients. Abdominal pain, fever and malaise were the most frequent symptoms. Both drugs were useful to treat F. hepatica.

Conclusions: this study showed the usefulness of lab tests for diagnosis and follow-up of patients after treatment. The anti-parasitic drugs dihydroemetine and triclabendazole proved to be effective at the prescribed doses in this research with minor adverse effects.

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来源期刊
Revista Cubana de Medicina Tropical
Revista Cubana de Medicina Tropical Medicine-Infectious Diseases
CiteScore
0.30
自引率
0.00%
发文量
0
期刊介绍: La Revista Cubana de Medicina Tropical tiene la misión de publicar artículos científicos especializados en medicina tropical, microbiología, parasitología, epidemiología y otras especialidades afines. Se distribuye directamente por el editor a los suscriptores en formato impreso (ISSN 0375-0760). Está dirigida a profesionales y técnicos en el campo de la medicina tropical, microbiología, parasitología y epidemiología. Recibe contribuciones en idioma español, inglés y portugués sin distinción en el país de procedencia.
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