肠道滴虫病

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疾病简介

人毛滴虫是寄生于肠道的鞭毛虫,多见于盲肠与结肠,可引起腹泻等临床症状,故又称为肠滴虫病。本病全年散发,以夏秋季为多。起病可缓可急,病程由数小时以至20余年不等。腹泻为主要症状,稀糊便,可有黏液,但脓血便少见。每天数次至十余次。伴恶心、呕吐、...腹痛、腹胀、食欲减退等。详情别名:肠毛滴虫病人毛滴虫病英文名:Trichomonashominis发病部位:腹部肠就诊科室:感染科内科症状:腹泻腹胀腹痛恶心呕吐黏液脓血便高热多发人群:儿童青年治疗手段:药物康复疗法并发疾病:胆道蛔虫病是否遗传:否是否传染:否

症状表现

症状<pstyle="LINE-HEIGHT:18pt;MARGIN:0cm15pt0pt0cm;BACKGROUND:white;VERTICAL-ALIGN:top;mso-pagination:widow-orphan"class="MsoNormal">肠滴虫全年散发,以夏秋季为多。起病可缓可急,病程由数小时以至20余年不等。腹泻为主要症状,稀糊便,可有黏液但脓血便少见。每天数次至十余次。伴恶心呕吐、腹痛腹腹胀、食欲减退等。约1/5患者有中至低度发热,高热罕见。少数患者表现为腹泻、便秘交替。人毛滴虫寄生在胆道时可引起右上腹阵发性疼痛,恶心呕吐、发热及白细胞计数增高等。肠毛滴虫病病应与引起腹泻的其他疾病相鉴别,胆道寄生时则应与细菌性胆道感染相区别。

病因

病因人毛滴虫与阴道毛滴虫形态相似但波动膜和基染色杆较长直至虫体后端,后鞭毛在波动膜左侧并行,在虫体后端伸出体外。伪足形成较少见,在不适宜环境中可形成假包囊。虫体通过吞饮、吞噬等获取营养。滋养体寄生在人结肠并以纵二分裂法繁殖。滋养体随腹泻便排出,在室温下可存活8天;土壤中可存活7天。人因食入被滋养体污染的食物或饮水而感染,也可由苍蝇等传播。

检查

检查<!--?xml:namespaceprefix=ons="urn:schemas-microsoft-com:office:office"/--><o:p><pstyle="LINE-HEIGHT:18pt;MARGIN:0cm15pt0pt0cm;BACKGROUND:white;VERTICAL-ALIGN:top;mso-pagination:widow-orphan"class="MsoNormal">肠毛滴虫病病可通过粪便直接涂片镜检或培养阳性。</o:p>

诊断

诊断<pclass="placeholder">根据上述临床表现,粪便和胆汁中查找虫体是明确诊断的依据

治疗

治疗可采用全身治疗及局部治疗。由于阴道滴虫常伴泌尿系统的滴虫感染,并可隐藏在子宫颈腺体、阴道皱襞及尿道下段,故单纯局部用药不易彻底消失,停药后易复发,使疾病经久不愈。因此应首选全身治疗,并主张单剂量一次给药,且需连续3次月经期后复查滴虫阴性者方为治愈。滴虫病患者的性伴侣必须同时治疗.(一)全身治疗甲硝唑(灭滴灵)口服,这是治疗滴虫病最有效的方法。用法:灭滴灵2.0g,一次顿服,或者灭滴灵500mg口服,每日2次,连服7天。以一次给药法为首选。若上述治疗方案失败时,对耐药的阴道滴虫株应再给予灭滴灵500mg,每日2次口服,共服7天;若治疗仍失败,则应加大剂量,改用灭滴灵2.0g,每日1次顿服,共用3~5日。因月经后本病易复发,故下次月经过后最好再治疗1疗程,以巩固疗效。用本药治疗期间应避免饮酒及酒精饮品,以免引起戒酒硫样反应。并注意药的副作用。(二)局部治疗1.增强阴道防御能力用0.5%的乳酸或醋酸溶液冲洗外阴阴道,或用1:5000高锰酸钾冲洗阴道。2.用灭滴灵200mg或滴维净1片或卡巴砷400mg,每晚塞入阴道后穹窿,7~10天为一疗程。若先用上述酸性溶液清洗阴道后再放入药栓,则效果更佳。(三)特殊治疗1.孕妇的治疗由于甲硝唑对啮齿动物有致癌作用,对细菌也有致突变作用,故妊娠头3个月内不应服用,而应以局部治疗为主,但疗效不理想。对于妊娠中期以后仍有严重症状的病人可以考虑甲硝唑2.0g一次顿服疗法。2.性伴侣的治疗滴虫病患者的性伴侣必须同时接受治疗,方法剂量相同。

预后

预后<pclass="placeholder">肠滴虫一般预后良好

预防

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:LsdException><w:LsdExceptionLocked="false"Priority="99"SemiHidden="false"Name="ColorfulShadingAccent6"></w:LsdException><w:LsdExceptionLocked="false"Priority="99"SemiHidden="false"Name="ColorfulListAccent6"></w:LsdException><w:LsdExceptionLocked="false"Priority="99"SemiHidden="false"Name="ColorfulGridAccent6"></w:LsdException></w:LatentStyles></xml><![endif]--><pclass="MsoNormal">滴虫病的传播可以通过性交直接传播,也可以通过受滴虫污染的浴池、游泳池、马桶边或接触受污染的衣物及器械而间接传播。故滴虫病的预防应注意改进公共卫生设施,改坐式厕所为蹲式,洗淋浴,滴虫患者及带虫者不得进入公共游泳池,治疗期间要禁止性生活,夫妇双方同时治疗。此外,医疗单位要作好严格的消毒隔离,防止交叉感染。

参考资料

人毛滴虫与阴道毛滴虫形态相似但波动膜和基染色杆较长直至虫体后端,后鞭毛在波动膜左侧并行,在虫体后端伸出体外。伪足形成较少见,在不适宜环境中可形成假包囊。虫体通过吞饮、吞噬等获取营养。滋养体寄生在人结肠并以纵二分裂法繁殖。滋养体随腹泻便排出,在室温下可存活8天;土壤中可存活7天。人因食入被滋养体污染的食物或饮水而感染,也可由苍蝇等传播。