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吴某某,男,7岁。因左侧鼻腔流脓血伴鼻阻、头昏痛半月余,来院治疗。既往体健,有手捧山沟水饮用史。鼻部检查:右鼻腔无异常发现。面部左侧上颌窦区皮肤稍显肿胀,压痛。左鼻腔通气受阻,鼻腔内附着脓血性分泌物。清除分泌物后,见鼻前部粘膜充血以及一黑褐色软体物阻塞整个鼻腔。鼻甲看不清。可卡因局麻后取出软体物,系一扁圆形蚂蝗,长7.3cm,重5.2g,腹腔内吸满了患者血液。见鼻腔粘膜充血,上颌窦口溢出脓性液。经注射青霉素、口服黄连素、维生素和鼻腔滴药10余日,患者基本痊愈。此例鼻腔蚂蝗寄生系由手捧生水喝,幼虫进入鼻腔所致。
Wu Moumou, male, 7 years old. Due to left nasal sepsis nasal congestion, headache, more than half a month, to hospital treatment. Past physical health, hand-held ravine drinking history. Nasal examination: No abnormalities found in the right nasal cavity. Upper left facial sinus area slightly swollen skin, tenderness. Left nasal ventilation blocked, purulent nasal secretions attached. After clearing the secretions, see the mucosal hyperemia in front of the nose and a dark brownish soft mass blocking the entire nasal cavity. Turbinates can not see clearly. Cocaine removed after the local anesthetic, Department of a flat round-shaped leeches, long 7.3cm, weight 5.2g, abdominal cavity filled with the patient’s blood. See nasal mucosal congestion, maxillary sinus overflow purulent fluid. After injection of penicillin, oral berberine, vitamins and nasal drops more than 10 days, the patient basically recovered. This case of nasal leech parasitic line by hand holding raw water to drink, larvae into the nasal cavity caused.