小儿胸部包虫病共187例,行各种手术治疗212次,手术病死率0.5%.术后随访110例,2例死亡,1例死于脑炎,另1例死因不详;2例复发.全组在流行区与家畜有接触史占97.2%.约85.5%有呼吸道症状,10.6%咳出粉皮样物,局部胸廓隆起者占11.7%.皮内过敏试验阳性者占89.4%.%A total of 928 cases of intrathoraclc hydatld cyst were treated surgically from June,1957 to December,1983.Among them,187 were children (20.1%)and 212 operations were performed on with a mortality of 0.5%.Follow-up until June,1975,there were 2 other late deaths and again another 2 recurrences.Main clinical findings of these patients are:history of intimate contacting with dogs(97% of cases),respiratory symptoms(85.5%),coughing and membranous expectoration (10.6%),deviation of the trachea (5.8%),and a positive Casoni test (89.4%).Diagnosis of intrathoracle echinococcosis mightibe comfirmed by chest X-ray films,sonogram,and Gasoni test.Surgical extirpation is the only effective treatment of choice and the intrathoracic complications should be managed at the same time.
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