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50例脑型猪囊尾蚴病患者,多数采用吡喹酮总剂量120mg/kg 1～2疗程的治疗,随访1～3年,除皮下肌肉结节减少或消失外,神经精神症状如癫痫、头痛、精神失常等也显著改善,但有个别症状加重。药物反应较采用相同剂量、疗程的皮下肌肉型患者明显为重,少数诱发癫痫和加重神经精神症状,可能是脑部囊尾蚴被药物杀灭后引起的变态反应所致。结果表明,吡喹酮对脑型猪囊尾蚴病有良好的疗效,但杀虫后引起的近、远期组织反应或病理后果值得引起重视。
50 cases of brain cysticercosis patients, most of the total dose of praziquantel 120mg / kg 1 to 2 courses of treatment, followed up for 1 to 3 years, in addition to subcutaneous subcutaneous muscle nodules reduced or disappeared, neuropsychiatric symptoms such as epilepsy, headache , Mental disorders, etc. also significantly improved, but some individual symptoms worsened. Drug response than the same dose, the course of subcutaneous muscle patients was significantly heavier, a few induced epilepsy and aggravating neuropsychiatric symptoms, may be caused by the cysticercosis of the brain cysticercosis caused by allergic reactions. The results showed that praziquantel had a good curative effect on cerebral cysticercosis, but the short-term and long-term tissue reaction or pathological consequences caused by insecticide deserved great attention.