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[一名诊断为急性肠系膜缺血的患者术后鼻胃管内出现蛔虫:病例报告]

[Ascaris lumbricoides in the nasogastric tube after operation on a patient with the diagnosis of acute mesenteric ischemia: case report].

作者信息

Çiçek Ayşegül Çopur, Gündoğdu Deniz, Direkel Sahin, Öztürk Çinar

机构信息

Recep Tayyip Erdoğan Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Rize, Türkiye.

出版信息

Turkiye Parazitol Derg. 2013;37(3):212-5. doi: 10.5152/tpd.2013.47.

Abstract

Ascaris lumbricoides is a comman intestinal helminths in humans. It is a parasite which commonly affects society with a low socioeconomic status, especially in tropical and rural areas. Ascaris lumbricoides infestation can lead to serious complications because of the mobility of the worms. The parasite can cause a variety of complications like intestinal obstruction, perforation, biliary obstruction, pancreatitis, peritonitis, liver abscess, cholangiohepatitis, volvulus, and gangrene, etc. A 59-year-old female patient hospitalized with the diagnosis of mesenteric ischemia was operated on for jejunal resection. On the 6th postoperative day, a worm was noticed emerging through the nasogastric tube. Ascaris lumbricoides was determined as a result of the examination microbiology laboratory. The patient was treated successfully with one dose of albendazole 200 mg 1x2. Our case describes a clinical situation of ascariasis observed after jejunal resection and emphasizes the importance of remaining aware of this rare complication of ascariasis.

摘要

蛔虫是人类常见的肠道寄生虫。它是一种寄生虫,通常对社会经济地位较低的人群产生影响,尤其是在热带和农村地区。由于蛔虫的活动,蛔虫感染可导致严重并发症。这种寄生虫可引起多种并发症,如肠梗阻、穿孔、胆管梗阻、胰腺炎、腹膜炎、肝脓肿、胆管肝炎、肠扭转和坏疽等。一名59岁女性患者因肠系膜缺血诊断入院,接受了空肠切除术。术后第6天,发现一条蛔虫从鼻胃管中钻出。经微生物实验室检查,确定为蛔虫。该患者服用一剂200毫克阿苯达唑,每日1次,每次2片,治疗成功。我们的病例描述了空肠切除术后观察到的蛔虫病临床情况,并强调了认识到这种蛔虫病罕见并发症的重要性。

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