【摘 要】
：
鼻蝇蛆病是一种较为罕见的寄生虫病,蝇蛆在鼻腔内生长对鼻腔、鼻窦造成损伤,一旦移行,会导致眼、颅腔等周围结构受损,妥善治疗和积极防控才能减少和避免严重并发症的出现.2020年5月14日中南大学湘雅医院收治的1例脑梗死昏迷患者发生了鼻蝇蛆病.该患者在治疗原发病的过程中,发现感染了蝇蛆.给予脱水降颅压、护脑、控制血糖和血压、抗感染等,积极治疗原发疾病,对鼻腔进行了鼻内镜检查/取虫、鼻腔冲洗等以治疗鼻蝇蛆病,然后对患者进行了妥善安置和隔离防控,以防止蝇蛆病在病区内播散.入院第16天后,患者神志恢复,鼻腔内未再发现
【机 构】
：
宁夏医科大学总医院院内感染科,银川750004;中南大学湘雅医院医院感染控制中心,长沙410008;中南大学湘雅医院神经内科,长沙410008
论文部分内容阅读
鼻蝇蛆病是一种较为罕见的寄生虫病,蝇蛆在鼻腔内生长对鼻腔、鼻窦造成损伤,一旦移行,会导致眼、颅腔等周围结构受损,妥善治疗和积极防控才能减少和避免严重并发症的出现.2020年5月14日中南大学湘雅医院收治的1例脑梗死昏迷患者发生了鼻蝇蛆病.该患者在治疗原发病的过程中,发现感染了蝇蛆.给予脱水降颅压、护脑、控制血糖和血压、抗感染等,积极治疗原发疾病,对鼻腔进行了鼻内镜检查/取虫、鼻腔冲洗等以治疗鼻蝇蛆病,然后对患者进行了妥善安置和隔离防控,以防止蝇蛆病在病区内播散.入院第16天后,患者神志恢复,鼻腔内未再发现虫体,病情好转出院.随访6个月,患者鼻腔未再发现蝇蛆,未诉鼻腔不适,收治病区无患者及医务人员感染蝇蛆.蝇蛆病重在预防,应当积极采取措施以降低社区及医院感染的风险.
其他文献
Objective: To explore the clinical effect of Chinese medicine aerosol fumigation on demodex infection related meibomian gland dysfunction. Methods: In this prospective study,60 patients(120 eyes) were selected and randomly divided into 2 groups: the treat
Objective: The mechanism of Yupingfeng Powder in the treatment of non-small cell lung cancer was analyzed by network pharmacology and molecular docking method. Methods: Search the related literature and TCMSP database, query the chemical composition and a
IgG4相关性腹膜后纤维化作为IgG4相关性疾病中的一类疾病,病因尚不明确,既往常将其归为原发性腹膜后纤维化疾病,但二者的病理过程和临床结局都不相同,因此,对二者的鉴别诊断非常重要.2019年12月19日中南大学湘雅二医院收治1例因“左下肢水肿1个半月”的18岁患者,患者的全身PET/CT提示:左侧髂总动脉-髂内外动脉起始处糖代谢增高的软组织密度肿块,疑为恶性肿瘤;左侧输尿管及左侧肾盂扩张并积水.患者于2020年1月8日行盆腔肿物切除+输尿管切除吻合术,术后病理检查结果考虑为IgG4相关性疾病.作为一种罕
Objective: To evaluate the clinical efficacy and safety of Chinese patent medicine Bupi Yichang Pill in the treatment of ulcerative colitis. Method: Use a computer to retrieve English and Chinese database(PubMed, EMBASE, CNKI, VIP, and Wanfang) from the e
The researches on the correlation between TCM syndromes of coronary heart disease and blood biochemical indexes from Jan. 2011 to Jul. 2020 were reviewed, in order to explore the association of different TCM syndromes of coronary heart disease with blood
Objective: To explore the general differentiation and treatment of insomnia by Professor Gao Ying through drug clustering and group correspondence analysis, and provide reference for clinical diagnosis and treatment. Methods: Collect retrospective case da
Objective: To observe the changes of diagnosis and treatment of a patient with rhegmatogenous retinal detachment (RRD) after phakic intraocular lens implantation in high myopia, and analyze its mechanism and treatment combined with the literature. Methods
Objective: To observe the effect of intradermal needle therapy on back-shu points of five zang organs in treating chronic fatigue syndrome (CFS) and provide evidence for the usage of unilateral back-shu point. Methods: Patients were randomly divided into
Pattern recognition receptor (PRR) is a kind of sensor which is mainly expressed on the surface of innate immune cells. It can recognize pathogen related molecular patterns (PAMPs) or damage related molecular patterns (DAMPs). The innate immune system use
重度溃疡性结肠炎通常病情重、发展快,出现危及生命的并发症和结肠切除的风险特别高.对于溃疡性结肠炎,当内科治疗无效时可考虑手术治疗.1例重度溃疡性结肠炎经采用常规药物治疗无效,出现低血压性休克等并发症,达到行外科手术的指征,因患者为年轻未婚、未恋女性,术后存在影响生活质量、性功能障碍、不孕等风险,故经分析内科疗效不佳的原因后采取规范治疗方案,充分增强营养支持,调节肠道微生态等个体化治疗,患者由重度转为轻度.对该患者的内科优化治疗提示营养支持在溃疡性结肠炎中与药物治疗同样重要.