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水蛭寄生：上呼吸道梗阻的罕见病因

Leech infestation: the unusual cause of upper airway obstruction.

作者信息

Mekonnen Demeke

机构信息

Department of Pediatrics and Child Health, College of Public Health and Medical Sciences, Jimma University.

出版信息

Ethiop J Health Sci. 2013 Mar;23(1):65-8.

PMID:23559840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3613817/
Abstract

This paper presents a case of a 7 year-old child who presented with a 14-days history of blood stained saliva and shortness of breath of 3 days with signs of upper airway obstruction. Laryngoscopy revealed a blackish living foreign body in the proximal trachea. Under general anesthesia the leech was removed by applying forceps. I conclude that a high index of suspicion of leech infestation is required when faced with a child presenting with unexplained bleeding per mouth and signs of upper airway obstruction.

摘要

本文介绍了一例7岁儿童的病例，该儿童有14天血痰病史，伴有3天的呼吸急促及上呼吸道梗阻体征。喉镜检查发现气管近端有一个黑色的活体异物。在全身麻醉下，用镊子取出了水蛭。我得出结论，当面对一名出现不明原因口腔出血和上呼吸道梗阻体征的儿童时，需要高度怀疑水蛭感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d059/3613817/f1c5c16ba8ad/EJHS2301-0065Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d059/3613817/97869e2f9076/EJHS2301-0065Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d059/3613817/f1c5c16ba8ad/EJHS2301-0065Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d059/3613817/97869e2f9076/EJHS2301-0065Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d059/3613817/f1c5c16ba8ad/EJHS2301-0065Fig2.jpg

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本文引用的文献

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A nasopharyngeal mass: leech in the nasopharynx.鼻咽部肿物：鼻咽部水蛭
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Leeches in the larynx.
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埃塞俄比亚南部米拉卜阿巴亚地区家畜水蛭病的流行情况、危险因素及防控措施
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An Unusual Case of Unilateral Epistaxis: The Hidden Bloodsucker.单侧鼻出血的罕见病例：隐匿的吸血者
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Laryngeal Leech Infestation: A Rare Cause of Upper Air Way Obstruction in Children.喉部水蛭寄生：儿童上呼吸道梗阻的罕见原因
Int Med Case Rep J. 2022 Nov 4;15:621-623. doi: 10.2147/IMCRJ.S386963. eCollection 2022.
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Bloody Wiggler, a Case Report of a Leech in the Pharynx.血蛭，一例咽部水蛭病例报告。
Int Med Case Rep J. 2022 Sep 19;15:507-510. doi: 10.2147/IMCRJ.S379722. eCollection 2022.
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Unusual Cause of Persistent Epistaxis with Severe Anemia in a Child.儿童持续性鼻出血伴严重贫血的罕见病因
Case Rep Otolaryngol. 2022 Aug 8;2022:8557755. doi: 10.1155/2022/8557755. eCollection 2022.
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Bronchial Leech Infestation in a 15-Year-Old Female.一名15岁女性的支气管水蛭感染
Case Rep Pediatr. 2016;2016:2372686. doi: 10.1155/2016/2372686. Epub 2016 Sep 26.
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一名儿童结膜感染了棋盘涡虫。
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Leech--an unusual cause of (laryngo-tracheal) obstruction.水蛭——（喉气管）梗阻的罕见病因。
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