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蛔虫病的常见并发症为大量虫体集聚引起肠梗阻。当蛔虫游走进入胆道、胰腺管及阑尾时可引起胆道梗阻、黄疸、胆管炎、胰腺炎及阑尾炎。偶尔蛔虫可侵入肝脏,引起单个或多发性肝脓肿。本病例为21个月的男孩,由于发热、腹痛、昏迷急诊求医。体检示瘦弱、营养不良、皮肤和粘膜苍白,体重仅7kg,体温103°F,腹部膨胀,肢体水肿。在体格检查时突然死亡。就诊前患儿已进行过驱虫治疗。尸检:腹部膨胀,两下肢远端水肿。腹腔内呈弥漫性化脓性腹膜炎。胃扩张,粘膜充血,并见2条死亡蛔虫。十二指肠内见一条活虫通过十二指肠乳头进入总胆管。小肠粘膜充血,并有小溃疡形成,肠腔内的死、活虫体共有92条。肝脏呈黄色,体积增大,重400g,有多个脓肿散布在所有肝叶中,大多数
Common complications of ascariasis for a large number of parasites cause intestinal obstruction. When roundworms walk into the biliary tract, pancreatic duct and appendix can cause biliary obstruction, jaundice, cholangitis, pancreatitis and appendicitis. Occasionally roundworms can invade the liver, causing single or multiple liver abscesses. The case was a 21-month-old boy who was admitted to a doctor because of fever, abdominal pain, and coma. Physical examination showed emaciation, malnutrition, pale skin and mucous membranes, body weight of only 7 kg, body temperature of 103 ° F, abdominal distension and limb edema. Sudden death on physical examination. Children have been treated with deworming before treatment. Autopsy: Abdominal swelling, distal edema of both lower extremities. Intraperitoneal diffuse purulent peritonitis. Gastric dilatation, mucosal hyperemia, and see 2 dead roundworms. See a live duodenum duodenal papilla into the common bile duct. Intestinal mucosal congestion, and a small ulcer formation, the intestine died, a total of 92 live worms. Liver is yellow, the volume increases, weighing 400g, there are multiple abscesses in all liver lobes, the majority