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结膜蝇蛆病是较少见的热带性眼病,至于羊狂蝇所致者,更属罕见。本院1963年曾遇1例,兹报告于后。病例报告刘××,男,8岁,河南省许昌市人,于1963年5月13日来院初诊。病史(由其父代诉):父发现小儿近二日来双眼怕光,睑缘潮红,经常擦眼。就诊日上午患儿主觉眼部痒得很剧烈,并有烧灼感。其父认为可能有沙土迷入眼睛,翻开眼睑欲将其吹掉,始发现双眼皆有小虫爬行,故立即就医。追问病史,四日前曾去许昌市郊外婆家一次,附近有羊群,但未发现附近有发狂病死亡羊只,小儿亦未玩弄过羊。起病后无全身不适,无随嚏涕喷出小虫之历史。既往史:一月前在我院拍片,证实有肺结核。家族史:父母及兄弟均健在,无同样疾病患者。眼科检查:双眼视力皆1.2,J.1.0。双眼结膜轻度充血,穹窿部有乳头。上下睑结膜皆有多数约长1.5毫米之乳白色小虫蠕动爬行。眼前部无异常,眼底亦无特殊所见。眼压:右眼16毫米汞柱,左眼:18毫米汞柱(Schiotz),眼球不突出,眼肌六个诊断方向运动自如,双眼结膜囊 pH皆为8。
Conjunctivitis myiasis is a rare tropical eye disease, as the result of the sheep caused by flies are even more rare. Our hospital had one case in 1963, it is reported later. Case report Liu × ×, male, 8 years old, Xuchang City, Henan Province, on May 13, 1963 to the hospital first visit. History (by his father): The father found that the past two days children afraid of light eyes, eyelid flushing, often wiping eyes. On the morning of the doctor’s day, the kidneys in the eyes were very intense and had a burning sensation. His father thinks there may be sand into the eyes, open the eyelids to blow it away, began to find both eyes crawling insects, so seek medical treatment immediately. Asked history, four days ago went to the outskirts of Xuchang grandmother once near the flocks, but did not find the vicinity of mad sheep died sheep, children have not played with the sheep. No systemic discomfort after onset, no sneeze tears spray insects in the history. Past history: A month ago in our hospital film, confirmed tuberculosis. Family history: Parents and brothers are alive, no patients with the same disease. Eye examination: binocular vision are 1.2, J.1.0. Mild conjunctival hyperemia, the fornix nipple. The upper and lower conjunctiva are mostly about 1.5 mm long white worms crawling crawl. No abnormality in front of the eye, there is no special view of the fundus. Intraocular pressure: right eye 16 mm Hg, left eye: 18 mm Hg (Schiotz), the eye is not prominent, ocular movement in the direction of the six diagnostic freedom, both conjunctival sac pH 8.