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目的总结儿童皮肤蝇蛆病的临床特点,诊断、治疗及防治措施。方法回顾性分析11例经临床或组织病理证实的皮肤蝇蛆病患儿临床资料。结果 11例患儿均有与牲畜密切接触史;临床均表现为皮肤游走性刺痛,皮肤损害呈多发性;经抗炎、抗过敏及对症治疗,7例蝇蛆自行从皮下钻出,3例钳夹取出,1例切开取出,其中8例痊愈出院,3例出院后因仍有蝇蛆排出而复诊,1a后蝇蛆排尽,完全康复。结论 儿童皮肤蝇蛆病临床特征明确,对症治疗及取出虫体为主要治疗措施。
Objective To summarize the clinical features, diagnosis, treatment and prevention of myiasis in children. Methods The clinical data of 11 children with dermatomyositis confirmed by clinical or histopathological examination were retrospectively analyzed. Results All the 11 cases had close contact with livestock. The clinical manifestations were stinging of the skin and multiple skin lesions. After anti-inflammatory, anti-allergic and symptomatic treatment, 7 cases of maggots were drilled from the skin subcutaneously, 3 cases were removed by forceps and 1 case was excised. Among them, 8 cases were cured and discharged, 3 cases were discharged due to maggot discharge after the discharge, and the larvae were exhausted and completely recovered after 1a. Conclusion The clinical features of mycosis in children are clear, symptomatic treatment and removal of parasites are the main treatment measures.