【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.
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