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患者,男,54岁,教师,1991年4月5日突发声嘶、低热、咳嗽、气逼,鼻涕带鲜血。1周后,鼻涕中发现2条乳白色线样虫体,长2～3cm,移行甚快,经江西医学院寄生虫教研室确认为美丽筒线虫幼虫。反复检查患者口腔、鼻咽部,未发现虫体,仅鼻咽部充血,胸片示两肺纹理增粗。因患者反复鼻出血,笔者试用肠虫清400mg一次口服,2天后,症状改善不明显,改舌下一次含服肠虫清400mg,鼻出血停止,且先后又从口腔吐出4条幼虫,同时给患者肌注青霉素,咳嗽缓解。经观察未再发现虫体,治愈。
Patients, male, 54 years old, teacher, April 5, 1991 sudden hoarseness, fever, cough, gas forced, nose with blood. After 1 week, two white-spotted worms were found in the nose, with a length of 2 ~ 3 cm. They migrated very fast and were confirmed as beautiful worm nematodes by the Department of Parasitology, Jiangxi Medical College. Repeated examination of the patient’s mouth, nasopharynx, no parasites, only nasopharyngeal congestion, chest X-ray showed thickening of the lungs. Repeated epistaxis patients, the author try intestinal orally 400mg once orally, 2 days later, the symptoms did not improve significantly, change the tongue under the intestinal buccal clearance 400mg, stop bleeding nose, and has spit out from the mouth four larvae, while giving Patients with muscle injection of penicillin, cough relief. Observed no longer found parasites, cured.