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近段,作者根据镜检的虫体生物学形态鉴别特征,对照文献,结合个案调查,对某市立医院送检手术标本进行检查,确诊此标本为曼氏迭宫绦虫皮肤裂头蚴病患者1例。患者,男,33岁,大学本科毕业,会计,爱吃青蛙、蛇肉等,有喝生水史。2年前曾到东山县外出旅游吃蛇肉,1年后发现腹壁长有1包块,不痛不痒,无明显压痛。后包块越长越大,担心肿瘤,才去医院就诊。近1年中,两次去市属两家医院被误诊为脂肪瘤、纤维瘤。2006年5月,包块有明显压痛、化脓,去某市立医院就诊,局部麻醉,作手术切除。手术时见2条蜿蜒盘曲的白色小虫,送我中心检验,虫体为乳白色,带状,稍收缩,长×宽平均为34mm×2.5mm,未分节,体表有许多皱褶,
In the recent period, according to the morphological characteristics of microscopic examination of the parasites, the author checked the literature on the cases and examined the specimens submitted by a municipal hospital for diagnosis. One patient was diagnosed as Metastastrophytis circumcision. Patient, male, 33 years old, graduated from college, accounting, eating frogs, snake meat, drinking history. 2 years ago went to Dongshan County travel to eat snake meat, abdominal wall after 1 year found that there are 1 package, itching, no significant tenderness. After the larger the larger the block, worry about the tumor before going to the hospital. In the past year, two municipal hospitals were misdiagnosed as lipomas and fibroids. May 2006, mass was tenderness, suppuration, go to a municipal hospital for treatment, local anesthesia, for surgical resection. Surgery, see the two winding meandering white bugs, sent to our center for testing, parasites milky white, ribbon, a little contraction, length × width average 34mm × 2.5mm, without section, the body surface has many folds,