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我们用吡喹酮治疗华支睾吸虫病733例时,出现1例频发室性早搏。用该药治疗华支睾吸虫病引起这样的副作用文献上未见报道,特将本病例报告如下。病例男,16岁,农民,因粪检华支睾吸虫卵阳性,于1980年10月22日入院治疗。近半年来常觉头晕,上腹不适,肝区疼痛。既往无心脏病史。入院体检:发育营养一般,体重50kg,血压100/72,全身皮肤无皮疹和出血点,巩膜无黄染,心界不大,心律整,心率60次,腹软,肝肋下1cm,无压痛,脾未触及。实验室检查:血红蛋白93%,白细胞分类计数:中性63%、淋巴26%、嗜酸粒7%、单核4%。血清SGPT104单位。尿正常。粪检华支睾吸虫卵阳性,克粪虫卵数1000个。
When we treated 733 cases of clonorchiasis with praziquantel, we found 1 case of frequent premature ventricular contractions. The drug treatment of Clonorchis sinensis caused such side effects caused by this literature has not been reported, especially the case reported as follows. Case Male, 16 years old, farmer, due to fecal examination Clonorchis sinensis egg-positive, was admitted to hospital on October 22, 1980. Nearly six months often feel dizzy, abdominal discomfort, liver pain. No previous history of heart disease. Admission physical examination: general nutrition, weight 50kg, blood pressure 100/72, no skin rash and bleeding in the whole body, scleral no yellow dye, little heart, heart rhythm, heart rate 60 times, abdominal soft, liver ribs 1cm, no tenderness , Spleen not touched. Laboratory tests: hemoglobin 93%, white blood cell count: neutral 63%, lymph 26%, 7% eosinophilic, mononuclear 4%. Serum SGPT104 units. Urine is normal. Stool fecal Clonorchis sinensis egg-positive, gram fecal eggs 1000.