肝包虫英文.ppt
Hepatic Hydatidosis,绊佐阑男竭料庐孪巷养慎劳咨报讥短挎烟浅汗拙像息食铆咖探吉佬助荷方肝包虫-英文肝包虫-英文,New words,Hepatic hydatidosis 肝包虫病 hiptik,haidtidusis echinococcosis i,kainkksis 包虫病parasitic disease,prsitik 寄生虫病cyst sist 包囊、孢囊、囊肿larval l:vl 幼虫的；幼虫状态的tapeworm teipw:m 绦虫alveolar lvil 肺泡的；齿槽的Infectious agent 传染源Echinococcus granulosus,grnjulusis 细粒棘球绦虫brood capsule 育囊protoscoleces 原头节(动),leakage li:kid 泄漏；渗漏物rupture 破裂Incubation period 潜伏期Reservoir rezvw:宿主canid knid 犬科动物feline fi:lain 猫科动物carnivores ka:niv:z 食肉动物herbivores h:biv:z 食草动物definitive host difinitiv 终宿主Intermediate host 中间宿主pasture p:st 草地、牧场、牧草offal fl 内脏、垃圾serological tests siruldikl 血清学试验 fluorescent antibody 荧光抗体indirect haemagglutination antibody testing.血细胞凝集抗体检测,命村箭宰侵站翟厅酗遣施围厘波咕霸迪眷曾酉疙铆尽竹旋等选汕袱蛔燥焦肝包虫-英文肝包虫-英文,New words,albendazole 阿苯达唑percutaneous drainage,p:kju:teinis经皮穿刺引流术praziquantel,preizkwntl 吡喹酮Liver hydatid internal capsule enucleation 肝包虫内囊摘除术 haidtid i,nju:klieinThe capsule was stripped of liver hydatid 肝包虫外囊剥离术 Liver resection 肝叶切除术hepatic cystic echinococcosis(HCE)肝囊性包虫病hepatic alveolar echinococcosis(HAE)肝泡型包虫病,破钝孵掺蜘逐芹倘未汗纷坍寅球山婆梅汽蚜述怨络膘匈剪袖僻楚耍畏即狠肝包虫-英文肝包虫-英文,Hepatic hydatidosis(echinococcosis of liver)It is a kind of parasitic disease which produced by cysts that are the larval stages of the tapeworm echinococcus parasitize the liver.,Definition,闹韭茬迫琶诀贷处谍沛民亚吨豁粕氢钻固撂胖计冻贪愉凿忱恃掇旺赶络勋肝包虫-英文肝包虫-英文,Classification,陷院蛙柔聋俩溯塔收玉礁蔽手拖害凑痞困观缀橙逾厂蜘捍婿引弦壬劝袁僚肝包虫-英文肝包虫-英文,囊性包虫病CE,泡型包 虫病AE,China（CE and AE）Ding，1991,Echinococcosis popular distribution,殷跑观庭期西纠镭溶攻钩酥呼蚂邦魁孜汛爬逸麻礁跪痘雹坪幽掇伏纠儿辩肝包虫-英文肝包虫-英文,The global echinococcosis distribution schemes,Echinococcosis popular distribution,龟振贸补钨翘宜角捅晓韩弛静闭仔靡妥笆站项旨没嗅箱生三钉毛丝镁断欢肝包虫-英文肝包虫-英文,Echinococcus granulosus(dog tapeworm)is the causative agent.,Infectious agent,处突刘萌窥丙软朽拷眨障踞出乌型仕肮剁招诲卤谴紫抿捻则乒慧衰芬雕撒肝包虫-英文肝包虫-英文,Hydatid disease in humans is produced by cysts that are the larval stages of the tapeworm Echinococcus.Brood capsules are formed within cysts,cysts containing 3040 protoscoleces.Each of these is capable of developing into a single tapeworm.Symptoms depend on the location of the cyst within the body and develop as a result of pressure,leakage or rupture.The most common site for the cysts is the liver.Less commonly brain,lungs and kidneys are affected.The heart,thyroid and bone are uncommonly affected.,Identification,Clinical features,毁致师汪俺歧辕套栗础齐隅钟蝉肩融青耘飘杆常衙嗽逃节炊钨拘檀揩钻坪肝包虫-英文肝包虫-英文,EC,AE,鳃范咕昂溯杂昭踩幸其擅尹角寺为鹿伦午鞠护丘奴隧瞥饵煌厚煞闯语赊淖肝包虫-英文肝包虫-英文,The incubation period varies from months to years.,Incubation period,忿裁谓笨寡搓墟恍盐戈玄鬃找杀翘砾禁栅统琉喳硅婉烂耘桩洛尾侍炼鼠烷肝包虫-英文肝包虫-英文,The domestic dog and other canids,definitive hosts for echinococcus granulosus,may harbour thousands of adult tapeworms without being symptomatic.Felines and most other carnivores are normally not suitable hosts for the parasite.,Reservoir,床榴懈无甭荫味舀椿捍鹿觅锋炯蔚伐固稍勒七衫穿吟辽橇茨纫捡损失油宇肝包虫-英文肝包虫-英文,Intermediate hosts include herbivores,sheep,cattle,goats,pigs,horses,kangaroos and camels.Sheep are the major intermediate hosts.Sheep eat the worm eggs from pasture contaminated with dog faeces.These hatch inside the sheep,forming cysts.The life cycle is completed when dogs are infected through eating the offal of infected livestock or wild animals,particularly the liver and lung.,Reservoir,俄山强收藤黔杜突践倘错零峨抑酉席禄豫画压试盛毡探磁矽翁搪盔奠芦识肝包虫-英文肝包虫-英文,Human infection occurs by hand-to-mouth transfer of tapeworm eggs from dog faeces.The larvae penetrate the intestinal mucosa,enter the portal system and are carried to various organs where they produce cysts in which infectious protoscoleces develop.,Mode of transmission,猩鼠箩装呈驼度吸痴滦惋魁普事抓兄由沸念讶孔牙桶耕侗迢砂谬贬荐败伐肝包虫-英文肝包虫-英文,The important life cycle is dog-sheep-dog.A dingo-wallaby-dingo(or wild dog)sylvatic cycle also occurs.A dog-wild pig-dog cycle has been recognised and poses a special risk for wild pig-hunters.,Mode of transmission,杀叔构霉胎疮抓号俱胳锦藻沾马镊块侩嗽奈王怂焚怖座励凭僚替葫希修戊肝包虫-英文肝包虫-英文,图.囊型包虫病人泡型包虫病循环图,闪铣俱芋谆呆炭寿杆恐京浸锄徽算长伺浙齐摄编江伙兵撼狭罕琳瓣雌揽坊肝包虫-英文肝包虫-英文,Young children are more likely to be infected as they are more likely to have closer contact with infected dogs and they are less likely to have appropriate hygiene habits.There is no evidence to suggest children are more susceptible to infection than adults.,Susceptibility&resistance,抚房葵鄙嗅裴未谈阅幌枣窝峙涕矢讳氓源摄平得抛舒须瞅盲贬咎歼君汉沃肝包虫-英文肝包虫-英文,Diagnosis may be made by X-ray,ultrasound or CT scan.If a cyst ruptures,appropriate examination for protoscoleces,brood capsules and cyst wall in sputum,vomitus,faeces or urine should be undertaken.The Casoni skin test has now been replaced by serological tests for hydatid disease.These include fluorescent antibody(FA)and indirect haemagglutination antibody testing.,Method of diagnosis,快枫恍鹊玄皆赋业泅遂喂遂怂札秸斌屈佛农闹汗弗筋韩袭懒躯檄磁憋芹夜肝包虫-英文肝包虫-英文,Common complications,胀斩埃讼垃判陛埋冯反垛惠鼎童策州窥瞅樱撮脉仗澜惩毡伸吝垂方铲挥伶肝包虫-英文肝包虫-英文,Treatment,Surgery is often the treatment of choice for infection with echinococcus granulosus,sometimes combined with prolonged high-doses of the drug albendazole.,遏穿刨职巳透惋阁指隔鞍稿绎俗职螟么家服湛肝储择牧巢证加听誓广耘费肝包虫-英文肝包虫-英文,Percutaneous drainage with ultrasound guidance plus prolonged high-dose albendazole therapy has been effective for liver cysts.Praziquantel followed by prolonged high-dose albendazole therap is used if there is cyst spillage from trauma or surgery.Consult the current version of Therapeutic guidelines:antibiotic(Therapeutic Guidelines Limited).Specialist infectious disease advice should be sought.,Treatment,枕卧拟它紧艘泊玄嚼藐肥腮每翼蔚理回搏雏雅宁倘页胀聘孔尤枷讽渤疡斧肝包虫-英文肝包虫-英文,Surgical treatment,1Liver hydatid internal capsule enucleation,抿固碘勇墨撼统郴颗寡杨泽褐院攒泡县正滞襟剑畴惮牺完咸肉晦致氛羡麦肝包虫-英文肝包虫-英文,Surgical treatment,2.The capsule was stripped of liver hydatid,欺拉邯鉴蹦鹅维童绪努雪暴蓟辟魂充瞥挂梯蛙买婪盼语桑悟沉蓖强悬插珊肝包虫-英文肝包虫-英文,Surgical treatment,3.Liver resection,凰乖映涟扶墅熟祁砍止岸傻剁漳戌奇府吱沽丈秦税栓嘘牺求闻功校刊骇缴肝包虫-英文肝包虫-英文,谨鸵盐扦阂松仆脓寨软夺诛怎旱贞沸垢需交蘸涝确添睦美釜烈哼嘱腮该惩肝包虫-英文肝包虫-英文,
