(精选)Ascaris lumbricoides教学课件.pptVIP

Ascaris lumbricoides;Ascaris Lumbricoides;I. Morphology;Historical Accounts; Adult worm of A. lumbricoides;The lips of Ascaris lumbricoides; Egg: There are three kinds of the eggs. They are fertilized eggs, unfertilized eggs and decorticated eggs. We usually describe an egg in 5 aspects: size, color, shape, shell and content. 1. Fertilized eggs: broad oval in shape, brown in color, an average size 60× 45μm. The shell is thicker and consists of ascaroside, chitinous layer, fertilizing membrane and mammillated albuminous coat stained brown by bile. The content is a fertilized ovum. There is a new-moon(crescent) shaped clear space at the each end inside the shell. 2. Unfertilized egg: Longer and slender than a fertilized egg. The chitinous layer and albuminous coat are thinner than those of the fertilized eggs without ascaroside and fertilizing membrane. The content is made of many refractable granules various in size. 3. Decorticated eggs: Both fertilized and unfertilized eggs sometimes may lack their outer albuminous coats and are colorless. ;Fertilized Ascaris Egg;III. Pathogenesis; 2. The intestinal phase of the adults. The presence of a few adult worms in the lumen of the small intestine usually produces no symptoms, but may give rise to vague abdominal pains or intermittent colic, especially in children. A heavy worm burden can result in malnutrition. More serious manifestations have been observed. Wandering adults may block the appendical lumen or the common bile duct and even perforate the intestinal wall. Thus complications of ascariasis, such as intestinal obstruction, appendicitis, biliary ascariasis, perforation of the intestine, cholecystitis, pancreatitis and peritonitis, etc., may occur, in which biliary ascariasis is the most common complication.;Iii. Diagnosis;V. Epidemiology;VI. Prevention and Treatment;Discovery;Infrastructure;Prevalence;Human Movement;Prevention;Health Care;Anthropogenic Changes; The E