电子鼻咽喉镜下诊治鼻咽喉水蛭寄生病体会.doc

电子鼻咽喉镜下诊治鼻咽喉水姪寄生病 体会 杨文飞彭永华刘雪梅刘塞锋螯韶r 赣南医学院第一附属医院耳鼻咽喉-头颈外科 目的探讨鼻咽喉水蛭寄生病的临床诊断、治疗特点，总结电子鼻咽喉镜下治疗 鼻咽喉水蛭寄生病的临床经验及方法。方法回顾性分析2007年I5月在我院诊 治的n例鼻咽喉水蛭寄生患者的临床症状、体征及治疗资料。结果鼻咽喉水蛭 寄生病好发于有野外饮用生水、野外游泳的人群，我院诊治的11例鼻咽喉水蛭 寄生患者均经门诊电子鼻咽喉镜直视下一次性完整取出。结论鼻咽喉水蛭寄生 病好发于鼻腔，电子鼻咽喉镜下直视治疗鼻咽喉水蛭病效果确切、安全，是一种 值得临床推广的治疗手段。 关键词： 水蛙;诊断;治疗;寄生虫病;电了鼻咽喉镜; 杨文飞（1984-）,男，，主治医师;主要从事耳鼻咽喉头颈外科 学常见疾病的诊治及A镜治疗 收稿曰期:2017-08-02 Experiences in diagnosis and treatment of parasitic disease of naso-pharyngo-laryngea leeches under electron nosepharyngolarygnoscope YANG Wen-fei PENG Yong-hua LIU Xue-mei LIU Tia-feng PENG Shao-ping Department of Otorhinolaryngology and Head and Neck Surgery， the First Affiliated Hospital of Gannan Medical University; Abstract： Objective To investigate the clinical diagnosis and treatment characteristics of patients with naso-pharyngolaryngea leeches parasitic disease, to summarize the experience in treating naso-pharyngo-laryngca leeches under electronic nasopharyngolarygnoscope.Methods The clinical characteristics and treatment effect information of 11 cases of naso-pharyngo-laryngea leeches in our hospital from January to May in 2017 were retrospectively analyzed. Results Naso-pharyngo-laryngea leeches often occured in people who drank field unboiled water or had outdoor swimming. The leeches of 11 patients were all taken out under electron nasopharyngolarynoscope in a direct view. Conclusion The naso-pharyngo-laryngea leeches tend to inhabit nasal cavity.It is effective and safe to take leeches out directly under the electron nosepharyngolarygnoscope. It is worthy of clinical promotion of the treatment. Keyword： Leeches; Diagnosis; Treatment; Parasitic disease; Electron nasopharyngolarygnoscope; Received： 2017-08-02 水蛭常见于我国四南、华南地区的水田、水沟、池塘、水库、江河等淡水区，水 蛭寄生病亦好发于这些淡水资源丰富地区Xkzl。水蛭可寄生在人的鼻、咽喉、 支气管、食道、泌尿道、生殖道等［3-5］，水蛭寄生可发生危及生命的并发症。 Cagll等M报道并分析一位23岁的男性患者因鼻咽后壁水姪寄生导致鼻出血和 呼吸困难，Koraichi等报道了一例3岁的女孩因鼻咽部水蛭寄生而导致严重 贫血。关于水蛭寄生病的治疗，临床上依据其寄生的部位不同采取不同的方案， 如寄生于气管内应在支气管镜下治疗，寄生于泌尿生殖道应在尿道镜下治疗， 寄生于鼻腔应在鼻内镜下治疗1^1。鼻咽喉水蛭寄生