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例1 患者姚某,男,3岁。家长代诉:患儿左眼长小白虫半月。近半月来患几经常用手揉左眼,并时常流泪,眼裂常有脓样分泌物,某日患儿午睡,其胞姐及其母先后发现有类似情况,于1983年8月17日来院门诊。体检:患儿一般情况良好,两眼视力无明显差别,均能辨清玩具及日常物品,左眼裂无分泌物,结膜囊内未检出虫体,左眼裂分泌物呈脓性,球结膜充血(++),以睑板拉钩轻提眼睑,立即见到活动迅速的小白虫3条,向结膜囊方向蠕动,笔者立即用眼科镊子逐条取出,仔细检查穹窿部结膜,见结膜表面粗糙,并有数处结膜出血点,角膜透明,前房清,其他无异常发现。诊断:左眼结膜吸吮线虫。经浙江医科大学寄生虫病教研组鉴定为中华吸吮线虫,其中1条子宫内有幼虫。3条成虫长度分别为11mm、17mm、13mm。
Example 1 Patient Yao, male, 3 years old. Parental complaint: children with white worms long half of the left eye. Nearly a half months to suffer from several often hand rubbing the left eye, and often tears, often have purulent secretions, one day children with nap, their sister and her mother have found a similar situation, in August 17, 1983 to the hospital Outpatient clinic. Physical examination: Children generally good, no significant difference between the two eyesight, can identify toys and daily items, left eye crack no secretions, conjunctival sac was not detected in parasites, left eye cracked secretions were purulent, the ball Conjunctival hyperemia (++), with the tarsus hook light eyelid, immediate activity to see the small white worms 3, to the direction of the conjunctival peristalsis, the author immediately removed one by one with eye tweezers, carefully check the fornix conjunctiva, see the conjunctiva surface Rough, and several conjunctival bleeding point, corneal transparency, anterior chamber clear, no other abnormal findings. Diagnosis: The left conjunctiva suck nematodes. Zhejiang Medical University parasitic disease teaching research group identified as China suck nematodes, including a larva within the uterus. The length of three adults were 11mm, 17mm, 13mm respectively.