由于A. lumbricoides在儿童的肠道阻塞:一个案例报告
Supangat Supangat1,2, Achmad Ilham Tohari2,3, Rihhadatul Aisy3
1Department of Pediatric Surgery, Dr. Soebandi General Hospital / Faculty of Medicine, University of Jember, Jember, Indonesia.
Journal of medical case reports
|April 11, 2025
概括
浅病是一种被忽视的热带疾病,可以导致严重的肠道阻塞. 这个案例突出了一个3岁的男孩,患有阿斯卡里斯 lumbricoides感染,导致手术干预和恢复.
科学领域:
- 热带医学 热带医学
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
背景情况:
- 虫病是一种重要的被忽视的热带疾病,具有多种不同的临床表现.
- 严重的虫病病例可能导致危及生命的并发症,如肠道阻塞或穿孔.
- 这份报告重点介绍了一例罕见的儿童肠道阻塞病例,由阿斯卡里斯 (Ascaris lumbricoides) 引起.
研究的目的:
- 报告小儿病患因阿斯卡里斯 lumbricoides 的肠道阻塞病例.
- 强调在特有地区对肠道阻塞的差异诊断中考虑虫病的重要性.
- 讨论阿斯卡利亚症相关并发症的管理和预防策略.
主要方法:
- 一个3岁的男孩出现了便秘和腹部膨胀.
- 通过虫识别和成像研究证实了虫病的诊断,这些研究显示了怀疑肠道阻塞.
- 进行了手术干预 (拉巴切除和乳房切除),随后进行了抗寄生虫治疗,使用了pyrantel pamoate和albendazole.
主要成果:
- 患者经历了虫的吐,并被诊断为ascariasis.
- 腹部X射线显示了流星,表明肠道阻塞.
- 实验室测试表明贫血和白细胞瘤.
结论:
- 肠道阻塞是一种罕见但严重的虫病并发症,必须在特有地区考虑.
- 包括手术干预和抗寄生虫疗法在内的综合管理对于患者的康复至关重要.
- 改善卫生和定期除虫等公共卫生措施可以减少虫病的流行率和并发症.
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