在腹腔镜胆囊切除术期间,由于圆的吸收而导致致命的窒息
Shinto Devassy1, Ravi Rautji2, Asit R Mridha3
1Department of Forensic Medicine, All India Institute of Medical Sciences, New Delhi, India.
The Medico-legal journal
|March 28, 2025
概括
虫病是一种常见的寄生虫感染,可以导致致命的呼吸道阻塞. 这一案例凸显了阿斯卡里斯 (Ascaris lumbricoides) 迁移到口腔喉的危险性,导致手术后呼吸道堵塞和心脏骤停.
科学领域:
- 医学 医学 医学 医学 医学
- 寄生虫学的寄生虫学
- 胃肠病学 胃肠病学
背景情况:
- 虫病是一种普遍存在的全球性寄生虫感染,通过便口腔途径传播,通常在卫生设施不足的地区.
- 虫 (Ascaris lumbricoides) 是最常见的虫,负责虫病.
- 虫病的并发症可能包括虫的子宫外迁移.
研究的目的:
- 报告一种罕见而致命的虫病并发症,涉及呼吸道阻塞.
- 为了强调阿斯卡里斯 (Ascaris lumbricoides) 迁移到口腔喉的可能性.
- 强调在术后并发症中考虑寄生虫感染的重要性.
主要方法:
- 一个40岁的女性患者的病例报告.
- 对临床病史的审查,包括腹腔镜胆囊切除术和术后并发症.
- 尸检结果以确定心脏骤停的原因.
主要成果:
- 患者经历了腹腔镜胆囊切除术后的术后出血和心脏骤停.
- 尸体解剖显示了口腔喉中的多个Ascaris lumbricoides圆虫.
- 圆虫阻碍了患者的呼吸通道,导致窒息.
结论:
- 致命的呼吸道阻塞由于阿斯卡里斯 lumbricoides迁移到口腔喉是一个罕见但关键的并发症.
- 这一案例凸显了虫病的严重后果的可能性,即使在手术患者中也是如此.
- 对寄生虫感染的认识对于诊断不寻常的术后事件至关重要.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Pyloric Obstruction
Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Intestinal Obstruction II: Pathophysiology
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...


