Anonymous
Anonymous asked in 健康其他:保健 · 1 decade ago

請醫學高手幫我看看此結果有什麼異常之處

A 54-year-old woman, The laboratory results were as follows: hemogram(Hb): 11.7g/dl, hematocrit: 34.5%, erythrocyte sedimentation rate: 45mm in the first 1 h,leukocyte count: 16,000/ml, neutrophil: 66%, eosinophil: 17%; prothrombin time: 12.1 seconds, total bilirubin: 0.7md/dl; direct bilirubin: 0.2mg/dl. AST: 47 IU/L, ALT: 44 IU/L,alkaline phosphatase 127 mg/dl. A chest X-ray was found to be normal. An abdominal CT scan revealed an increase in the size of the left lobe of the liver with a heterogeneous alteration of its echogenicity, but no clear image of mass or liquid collection could be defined. On October 8 of 1999, a hypo echoic lesion, 6 cm in diameter and with irregular shape was punctured and biopsied under ultrasonographic observation. Upon direct examination of the material obtained, eggs of Ascaris lumbricoides were found together with abundant Charcot-Leyden crystals.

Update:

再請教一下感染Ascaris lumbricoides在臨床data有什麼異常?

1 Answer

Rating
  • singer
    Lv 6
    1 decade ago
    Favorite Answer

    五十四歲的女性,抽血表現為貧血,白血球上升,且其中

    嗜伊紅性白血球的比例過高,肝指數只有輕微上升.胸部

    X光無異狀,但腹部電腦斷層掃描發現左肝有一個不均質的

    腫塊.醫師採取的作法是用超音波導引下做肝穿刺取得病理

    標本,結果發現是蛔蟲感染.

    蠻特別的病例...

    若檢驗糞便,不曉得能否提早查出來...

    若不做肝穿刺,憑著嗜伊紅性白血球上升,其鑑別診斷包括

    結締組織疾病,寄生蟲感染,自體免疫疾病,腫瘤,過敏,藥物

    等等,或許配合著良好的過去病史詢問,可以得到正確診斷.

    ...可惜上述英文無法得知病人的症狀,持續多久,職業為何

    ,飲食如何,居住在哪裡...

    ...也無從得知醫師在得到診斷後,有無開立藥物治療,而其

    效果如何,以及除了在肝臟以外,還侵犯到身體哪些器官.

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