Machi T, Okino S, Saito Y, Horita Y, Taguchi T, Nakazawa T, Nakamura Y, Hirai H, Miyamori H, Kitagawa S
Department of Internal Medicine, Keiju General Hospital, Nanao.
Intern Med. 1997 Jan;36(1):28-30. doi: 10.2169/internalmedicine.36.28.
We treated two cases of gastric anisakiasis presenting with severe chest pain. In both cases, there was a history of prior ingestion of raw saltwater fish. After endoscopic removal of larvae, the chest pain disappeared and never recurred. Other diseases causing chest pain were ruled out by symptoms, signs, blood tests, electrocardiography, chest radiograph, and ultrasonic examination of the heart and abdomen. Thus the chest pain was considered to be caused by gastric anisakiasis. Gastric anisakiasis should be included in the differential diagnosis of acute chest pain.
我们治疗了两例表现为严重胸痛的胃异尖线虫病患者。两例患者均有既往食用生咸水鱼的病史。在内镜下取出幼虫后，胸痛消失且未再复发。通过症状、体征、血液检查、心电图、胸部X光片以及心脏和腹部超声检查排除了其他引起胸痛的疾病。因此，胸痛被认为是由胃异尖线虫病引起的。胃异尖线虫病应纳入急性胸痛的鉴别诊断。
