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目的 :介绍隐孢子虫感染 4例婴儿肠炎的临床特点及 9年后随访的情况 ,探讨该病的有效防治措施。方法 :取患婴和家人以及所饲养的牲畜的新鲜粪便 ,用改良抗酸染色法涂片标本检查 ;并通过动物 (鼠 )模型的实验以确诊。结果 :在随机抽样的 2 71例 4岁以下腹泻婴幼儿住院者中 ,确诊 4例婴儿患隐孢子虫肠炎。检出率 1.4 7% (4/ 2 71)。经用大蒜素治愈出院。 9年后随访 ,患儿和其家人以及饲养牲畜之粪便检查 ,均呈阴性。结论 :隐孢子虫肠炎是人畜共患的寄生虫病 ,好发于夏季 ,多见于营养不良的小婴儿。患婴以腹泻为主 ,可伴发呼吸道疾患。大蒜素治疗效果显著 ,无副作用。婴儿感染与喂养方式 (母乳或人工 )相关性不明显 ,而与卫生环境、水源的污染密切相关。注意卫生和改善环境条件以及提高饮用、洗盥水的质量 ,可有效地预防本病
Objective: To introduce the clinical features of infantile enteritis in 4 cases of Cryptosporidium infection and the follow-up situation after 9 years, and to explore the effective prevention and treatment of this disease. Methods: Fresh stools from infants, their families and their livestock were examined with smear specimens modified by acid-fast staining and confirmed by animal (mouse) model experiments. RESULTS: Of the 71 randomly selected infants admitted to hospital for diarrhea under 4 years of age, 4 infants were diagnosed with Cryptosporidium enterocolitis. The detection rate was 1.4 7% (4/2 71). With allicin cured discharged. After 9 years of follow-up, children and their families, as well as livestock inspection, were negative. Conclusion: Cryptosporidiosis is a zoonotic parasitic disease that occurs in summer and occurs more frequently in malnourished baby. Infants with diarrhea-based, may be associated with respiratory diseases. Allicin treatment effect is significant, no side effects. Infant infection and feeding methods (breast milk or artificial) is not obvious, but with the health environment, water pollution is closely related. Pay attention to hygiene and improve environmental conditions and improve the quality of drinking, wash water, which can effectively prevent the disease