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水蛭俗称蚂蝗,多生活于水中。饮用含有幼蛭的水时,水蛭进入人体后常停留于气流较小的鼻咽和鼻腔顶部,也可以进入气管内,但停留于气管内的少见,且常易误诊。1992年5月以来,我院收治4例本病患者,报告如下。 1 病例报告 例1 男,5岁。间歇性呼吸困难7天于1992年5月27日入院。1月前出现反复间断性鼻出血,当地医院从左右鼻腔各取出1条活水蛭,鼻出血停止。7天前发生间歇性呼吸困难,阵发性加剧,伴咳嗽声嘶,按“喉炎”、“气管炎”治疗无效。症状逐日加重;当地医院行喉镜检查,发现声门下水蛭而转入我院。体检:精神差,消瘦。呼吸不规则,20～24次/分,偶有喉鸣,三凹
Leech commonly known as leech, living in the water. When drinking water containing young leeches, leeches often stay in the nasopharynx and nasal cavity less airflow into the body, but also into the trachea, but stay in the trachea rare, and often misdiagnosed. Since May 1992, our hospital treated 4 patients with this disease, the report is as follows. 1 case report 1 male, 5 years old. Intermittent dyspnea 7 days in May 27, 1992 admission. Repeated intermittent epistaxis occurred a month ago, the local hospital from the left and right nasal cavity removed a live leech, epistaxis stopped. 7 days ago intermittent dyspnea, paroxysmal increase, with cough hoarseness, according to “laryngitis”, “bronchitis” treatment ineffective. Symptoms increased day by day; local hospital laryngoscopy, found that the glottis into the glottis and into our hospital. Physical examination: poor spirit, weight loss. Irregular breathing, 20 to 24 beats / min, occasional throat, three concave