上消化道泛內視鏡發現之寄生蟲症

Parasites in Upper Gastroinestinal Panendoscopy

梅彪祥(Piu-Cheung Mui)

《中華民國消化系醫學會雜誌》 5卷3期 (1988/09) Pp. 175-179

https://doi.org/10.6557/GJTa.198809_5(3).0008

摘要

消化道寄生蟲感染在花蓮地區仍然相當普遍，基督教門諾會醫院在1984至1987年間以上消化道內視鏡檢查發現13例寄生蟲感染，分別是9例蛔蟲，3例腸類圓蟲和1例中華肝吸蟲，其分佈的部位是3例胃部，8例十二指腸和2例在膽道，這些病患都以上腹部不適爲主，由於這些病患都來自花蓮原住民的社區，診斷都以上消化道內視鏡檢查為主，所以特別報告這13例的內視鏡觀察結果，從這些寄生蟲的生活史和特性去探討內視鏡的應用範圍，發現內視鏡在診斷上雖然可提供正面的意義，但常規糞便檢查仍是高感染率地區最有效的檢查。

關鍵字

上消化道 ； 寄生蟲

並列摘要

Intestinal parasitosis is a common disease in Hualicn Area. There were 13 cases of intestinal parasitosis diagnosed during a 3 year peroid from 1984 to 1987. There were 9 cases of Ascariasis, 3 strongyloidiasis and 1 clonorchiasis. These parasites distributed in stomach (3 cases), duodenum (8 cases) and biliary tract (2 cases) respectively. All these patients came from the Hualien Aboriginal communities. The chief complaints were mainly upper abdominal discomfort. The endoscopic findings were dramatic but the intestinal mucosal change were non-specific. The parasite life cycle and their characteristic presentation in association with the endoscopic findings were discussed. Routine stool examination is still the recommended work-up in the endemic region.

並列關鍵字

Parasites ； upper gastrointestinal tract