一个阿斯卡里斯扭曲.
1George Regional Hospital, South Africa.
概括
在儿童中,Ascaris lumbricoides可能会导致危及生命的小肠. 对于疑似虫球症并发症,如周围和酸症,即时的手术干预至关重要,以防止穿孔.
科学领域:
- 医学寄生虫学 医学寄生虫学
- 儿科手术 儿科手术
- 胃肠道紧急情况
背景情况:
- 阿斯卡里斯,由阿斯卡里斯 lumbricoides引起的,是一种常见的肠道寄生虫,特别是在资源有限的环境中.
- 虽然通常无症状或引起轻微症状,但阿斯卡里斯感染可能导致严重的胃肠道并发症.
研究的目的:
- 报告一例小儿小肠阻塞病例和由阿斯卡里斯 (Ascaris) 虫所引起的卷.
- 为了强调阿斯卡里斯虫球状并发症的危急,危及生命的潜力.
主要方法:
- 一个5岁的男孩出现了小肠阻塞症状的病例报告.
- 诊断成像包括平坦的腹部放射,以确定一个虫球体.
- 由于腹膜瘤和酸性病,进行外科探索 (拉巴切除术).
主要成果:
- 一个大型的阿斯卡里斯虫球体被确定为小肠卷流的原因.
- 由于volvulus,一个体小肠的片段存在.
- 成功的手术管理涉及到受影响部分的扭曲和切除.
结论:
- 由于阿斯卡里斯虫球体引起的小肠卷发症是一种罕见但危及生命的并发症.
- 在疑似病例中,对败血症,酸性疾病和腹膜炎的迹象进行警观察是必不可少的.
- 早期的手术干预对于预防与穿孔相关的发病率和死亡率至关重要.
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