•‡¹½Œ‚ ƒ„·...

download •‡¹½Œ‚ ƒ„· ‰€±„‚ œµ„±²±„¹ ¤€… (CE3) ±¹

of 30

Embed Size (px)

Transcript of •‡¹½Œ‚ ƒ„·...

  • (CE3) & CE1

    , RADIOLOGIST MD

    & PAIR

  • Echinococcus Granulosus: ( .Multilocularis )

    > 13 / 100.000 ( 220/100.000)

    Centers for Disease Control and Prevention, USA World Health Organization (WHO) Control of Neglected Tropical Disease (NTD)

  • ( 75-80%).

    & (, , ) E

    .

    65-70% (85% )

    Centers for Disease Control and Prevention, USA

  • : > . ( ).

    +

    +

    /

    > . . .

    > (10-30 )

    > - .

    > (, ) 300ml .

    > , - .

  • (60%)

    * (>5cm)

    ( )

    (60%)

    -X - ( ) (5-25%)

    shock ( > )

    , , ,

    ,

    (. , , , 5-25%)

    ( , 9%)

    ( ) 2001

  • 77 , , , .

    : ( )

    : (16 /L) (5,40%) Ht (33%)

    US

  • ? . . ?

  • ? : ( ) > / = (Snow-Flake Sign) + .

  • WHO-IWGE

    World Health Organization Informal Working Group on Echinococcosis

  • World Health Organization Informal Working Group on Echinococcosis

  • World Health Organization Informal Working Group on Echinococcosis

  • , ( ).

    - : ( ) = () =

  • E = (Water - Lily Sign) = ,

    .

    Brant W.E. - US

  • World Health Organization Informal Working Group on Echinococcosis

  • World Health Organization Informal Working Group on Echinococcosis

  • CT .

    , 45 U ( )

    , .

    CT .

    US &

    & CT (M. Prokop) ,2005 World Health Organization Informal Working Group on Echinococcosis

  • ~1

    World Health Organization Informal Working Group on Echinococcosis

  • E.Granulosus >90%, E.Multilocularis 70-100%.

    A ,

    Western blot

    Western blot .

    .

    www.clinical.bioiatriki.gr/analysis/pdfs/a101.pdf

  • &

    ;

  • ,

    ,

    ,

    & ,

    ,

    World Health Organization Informal Working Group on Echinococcosis

  • .

    PAIR

    4 3

    /

    ()

    & ()

    ( ) 2001

    PAIR

    (Puncture Aspiration Injection Re-aspiration)

  • US :

    & ( III & IV)

    CL, CE1, CE2, CE3

    PAIR

    & IV

    CE4 & CE5

    WHO Informal Working Group

  • PAIR (Puncture Aspiration Injection Re-aspiration)

    1.

    2. (albendazole)

    3.

    . 4. (+) > (-) >

    5. 95%

    (1/3 ) 6.

    5 7.

    World Health Organization Informal Working Group on Echinococcosis

    PA

    IR

    (

    )

  • WHO Informal Working Group

  • WHO Informal Working Group

  • R

    aym

    ond

    A. S

    meg

    o, J

    r. et

    al.

    Per

    cuta

    neou

    s A

    spira

    tion-

    Inje

    ctio

    n-R

    easp

    iratio

    n D

    rain

    age

    Plu

    s A

    lben

    dazo

    le o

    r

    Meb

    enda

    zole

    for

    Hep

    atic

    Cys

    tic E

    chin

    ococ

    cosi

    s: A

    Met

    a-an

    alys

    is, C

    lin In

    fect

    Dis

    . (20

    03)

    37 (

    8): 1

    073-

    1083