摘要
本文报告甘肃省漳县韩川乡和草滩乡的泡型包虫病流行病学初步调查,380人包虫皮内试验(ID有73人呈阳性反应,阳性率19.2％,男女阳性率相近,分别为19.4％和18.9％。ID阳性的73人中,有19人作间接血凝反应,结果12人阳性,阳性率63.1％,血清滴度1∶64～1∶2048。380人除75名小学生外,其余305人的年龄组ID阳性率以20～30岁组为高(27.5％),10～20岁和30～40岁两组次之,分别为21.8％和23.8％。380人体查发现肝肿块9例,符合晚期肝泡型包虫病的临床诊断,发病率2.4％。在韩川乡首次发现家鼠感染孤立性肝棘球蚴囊肿,病理检查尚难确定为多房棘球蚴。剖检4只犬和1只狐,小肠内均未查见多房棘球绦虫。
The present paper reports a preliminary epidemiological investigation of alveolar echinococcosis in two communities in Zhang County, Gansu Province. Intradermal test (ID) was positive in 73 out of 380 persons (19.2%) without sex difference. ID positive rate was 19.2% in male and 18.8% in female. From 73 ID positive persons, 19 were made indirect hemoagglutination test (IHA) and 12 of them were positive (63.1) with sera titres of 1 : 64-1 : 2048. In addition to 75 school children from 380 persons, ID positive rate of age groups in the remaining 305 was higher in 20-30 yrs (27.5%) and the next two groups were 10-20 yrs and 30-40 yrs, in which ID positive rate was respectively 21.8% and 23.8%. All the 380 persons were routinely made physical examination and liver mass was discovered in 9 cases who accorded with clinical diagnosis of advanced-stage alveolar echinococcosis, so the morbidity was 2.4%. In Hanchuan Community, solitary Echinococcus cyst was first found in house mouse, but it was difficult to determine as larval Echinococcus multilocuralis pathologically. Adult worm was not discovered in the small intestines of 4 dogs and 1 fox after autopsy.
出处
《地方病通报》
1991年第2期83-86,共4页
Endemic Diseases Bulletin
关键词
泡型
棘球蚴
流行病学
皮内试验
Alveolar echinococcosis
Alveococcosis
Epidemiology
Intradermal test (ID)
Indirect hempagglutination test (IHA)
