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患者,男,7岁,住呼和浩特市郊病史:患儿早晨自觉“心烦”,呕吐物味苦呈泡沫状,并吐虫一条,虫体呈灰红色,非常活跃。患儿既往健康情况一般,食欲良好。但自5岁后,逐渐消瘦,偏食肉类,常饮生水,否认吃过甲虫。患者一直生活居住于猪的饲养地附近,未离过呼郊。此次吐虫后,两次送枪粪便,皆为不成形便,并含有很多未消化食物残渣,此后未再排虫。查体:发育正常,营养状况中等,智力不佳,两肺(一),心串100/分,心音正常,肝大肋下缘1.5厘米,边缘锐无压痛,脾未扪及,神经系统正常。血红蛋白9.5克%,白细胞8,900/立方毫米。嗜酸粒细胞10%,绝对计数748/立方毫米。便黄软,潜血(一),虫卵(一)。诊断:根据虫体标本,鉴定为猪巨吻棘头虫感染。
Patients, male, 7 years old, lived in the suburbs of Hohhot history: Children feel “upset” in the morning, vomit bitter was foamy, and spit worms, parasites grayish red, very active. Children with past general health, good appetite. However, since the age of 5, gradually thinner, partial eclipse meat, often drink raw water, denied eating beetles. The patient has lived in the vicinity of the pig’s rearing ground all the time, without leaving the call suburbs. After the spit insects, two shots of gun droppings, are not forming it, and contains a lot of undigested food residue, then no row of worms. Physical examination: normal development, nutritional status, mental retardation, two lungs (a), the heart string 100 / points, normal heart sound, 1.5 cm on the edge of the great rib cage, sharp edges without tenderness, spleen not palpable, normal nervous system . Hemoglobin 9.5%, white blood cells 8,900 / cubic millimeter. Eosinophil 10%, absolute count 748 / cubic millimeter. Yellow soft, occult blood (a), eggs (a). Diagnosis: According to the specimens of parasites, identified as giant snakehead spines infection.