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本文对1992~1994年来我室就诊的30例包虫病患者进行了分析,结果发现近年来原发性包虫病在河南省有逐渐增多的趋势。11例患者出生于或曾到过外省的包虫病流行区,19例为原发性包虫病患者,分布于河南8个地市,主要集中在焦作、郑州及洛阳三市的交界地区。发病年龄以青壮年占多数,农民发病率最高,占78.95%(15/19)。在19例原发性包虫病患者中,18例有犬、羊等家畜接触史,其中养犬者9例,养羊者3例,从事家畜贩运、屠宰及皮毛加工业者各2例。此外,在河南省已发现有自然感染细粒棘球绦虫的犬、羊、猪等动物。上述结果表明,在河南省已存在有包虫病的自然疫源地。因此,对从流行区购进的家畜、猎犬及其皮毛应加强检疫,并对从事家畜贩运和饲养人员、屠宰户及皮毛加工业者广泛开展卫生宣传教育工作,以防止包虫病在河南省的蔓延扩散和流行。
In this paper, from 1992 to 1994 to my room for treatment of 30 cases of echinococcosis patients were analyzed and found that in recent years, primary echinococcosis in Henan Province, there is a gradual increase in the trend. Eleven patients were born or have been to endemic areas of echinococcosis in other provinces. Nineteen patients with primary echinococcosis were found in 8 prefectures and cities of Henan Province, mainly in the border areas of the three cities of Jiaozuo, Zhengzhou and Luoyang. The incidence of young adults accounted for the majority of age, the highest incidence of farmers, accounting for 78.95% (15/19). Among the 19 patients with primary echinococcosis, 18 had history of exposure to domestic animals such as dogs and sheep, of which 9 were dogs and 3 were sheep, and 2 were livestock traders, slaughter and fur processors respectively. In addition, dogs, sheep, pigs and other animals naturally infected with Echinococcus granulosus have been found in Henan Province. The above results show that there is already a natural foci of hydatid disease in Henan Province. Therefore, quarantine should be strengthened for domestic animals, hounds and their fur bought from pop-up areas and a wide range of health publicity and education work on livestock trafficking and breeders, slaughterhouses and fur processing industries to prevent echinococcosis in Henan Province Spread spread and popularity.