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2019-05-11 00:25:11 热度:

口腔蝇蛆病感染的症状

1.临床资料

HUANZHENANXING,56SUI,NONGMIN,YIHUN,YUYOU1ZI1NV。HUANZHEYU2015-08-26ZIJUEZUOSHANGQIANYAQUZHONGTONG,YUDANGRIDAOJUZHUDIYUXIANRENMINYIYUANKOUQIANGKEJIUZHEN。LINCHUANGJIANCHA:FAXIANHUANZHEZUOSHANGQIANYAQUYOUBULIANGXIUFUTI,ZHOUWEIYAYINHONGZHONG。JINGHUANZHEJIJIASHUTONGYI,CHAICHUZUOSHANGQIANYAQUXIUFUTI,HOUFAXIANZUOSHANGCEQIEYAYUSHUANGJIANYADAMIANJIQUHUAI,KOUZHENTENGTONG(+),BUSONGDONG,ZUOSHANGJIANYASHECEYAYINYOUYIYUEZHIJING3mmDEYUANXINGPOSUN,NEIKEJIANYIBAISE“CHONGYANGRUDONGYIWU”(TU1)。

 

TU1  HUANZHEZUOSHANGJIANYASHECERUCHONGYANGYIWU

 

GENJUHUANZHEDEBINGSHIYULINCHUANGJIANCHAQINGKUANG,HUAIYIWEIKOUQIANGNEIJISHENGCHONGGANRAN;ZHILIAOQUEDINGXIANQUCHUCHONGTI,SONGZHUANYEKESHIHUIZHEN,GENJUJIANYANJIEGUOQUEDINGXIAYIBUZHILIAOFANGAN。JIUZHENYISHENGDANGJIYONGJINSHUTANZHENYUNIEZIJIACHUCHONGTI1ZHI,FAXIANCHONGTIHUODONGXINGHENHAO,JIANGQIFANGZHIYUGANZAOBOLIPINGNEI,YUDI2RIDAOSHOUDOUYIKEDAXUEFUSHUBEIJINGYOUYIYIYUANKOUQIANGKEJINYIBUZHENZHI。JIEZHENSHIHUANZHEZIJUESHANGQIANYAZHONGTONGJIAOQIANRIHUANJIE,YIBANQINGKUANGHAO,SHENGMINGTIZHENGPINGWEN。

 

ZHUANKEJIANCHA:ZUOSHANGCEQIEYAYUSHUANGJIANYAQUHUAIMIANJIDA,KOUTENG(+),YAZHOUDAI4mm,ZUOSHANGJIANYASHECEYACAOGUPOSUNJIJINYUHE,KOUQIANGNIANMOWUMINGXIANBINGSUN。HEMIANBUZUOYOUDUICHENG,SHUANGCEHEXIALINBAJIEWEICHUJIMINGXIANZHONGDA。BIYANBUJIANCHAWEIJIANYICHANG。HUANZHEWEIYUXIANBENDICHUSHENG,YIZHIZAIDANGDIWUNONG,WUYIQUJIDUWUJIECHUSHI,SHAOLIANGXIYAN、YINJIUSHI。

 

JIWANGHUANZHEJIANKANGZHUANGKUANGLIANGHAO,YIYUMIZHONGZHIJIFANGYANGWEIZHIYE,JIWANGWUGAOXUEYA、XINZANGBING、TANGNIAOBINGDENGMANXINGBINGSHI;WUGANYAN、JIEHE、JIQITACHUANRANBINGBINGSHI;FOURENYAOWUGUOMIN、SHIWUZHONGDUBINGSHI;WUSHOUSHU、YANZHONGWAISHANG、SHUXUEBINGSHI;YOUYUFANGJIEZHONGSHI,JUTIBUXIANG。FOURENZHONGLIUJIJIAZUYICHUANBINGBINGSHI。SHUHOUHUODEDERUANTIRUCHONGYANGCHONGTIBIAOBEN1ZHI(TU2),SONGSHOUDOUYIKEDAXUEFUSHUBEIJINGYOUYIYIYUANREDAIBINGYANJIUZHONGXINJISHENGCHONGYANJIUSHIJIANYAN。YANGBENJINGJIANDINGWEIQUZHENGJINYING(Chrysomyabezziana Villeneuve,1914)3LINGYOUCHONG,TIZHANG1.12cm。GAIYOUCHONGWEIWOGUOHUANANDIQUREN、CHUYINGQUBINGDEZHUYAOBINGYUAN(SUCHENGSHIROUYING),HAINAN、YUNNAN、GUANGXI、FUJIAN、TAIWAN、XIANGGANGDENGDICENGYOUWENXIANBAODAO。

 

TU2  RUANTIRUCHONGYANGCHONGTI1ZHI(QUZHENGJINYING)

 

HUANZHEDANGRIJIJIESHOUQUANKOUJIEZHIZHILIAO,GUOYANGHUAQINGRONGYEYUSHENGLIYANSHUIFANFUCHONGXIYAZHOUDAI,YAYINDIANGANYOUSHANGYAO。FANHUIYUANJIHOUJIXUXINGYATIZHILIAOJIKOUQIANGNEICANGEN、CANGUANBACHUSHU,CHAICHUBULIANGXIUFUTI,XIUFUQUESHIYA。DUIHUANZHEJIJIASHUJINXINGKOUQIANGWEISHENGXUANJIAO,ZHUYANGEKONGZHIKOUQIANGWEISHENG,DINGQIFUCHA。HUANZHEYUZHILIAOHOU1、3、6GEYUEHOUDINGQIFUZHEN,KOUQIANGNEIYANZHENGZHUANGKUANGMINGXIANHAOZHUAN,WEIZAIFAXIANQUCHONGGANRANBINGZHENG。

 

2.讨论

 

YINGQUZHENGDUOFASHENGYUCHUMUQUQIEWEISHENGTIAOJIANJIAOCHADEDIFANG,JIAOSHAOQINFANRENLEI。QINFANRENLEIDEBINGLIBAODAOZHONG,GENJUQINFANBUWEIKEFENWEICHANGDAO、MINIAOSHENGZHIDAO、YAN、ER、BI、KOU、YAN、PIFUYINGQUBINGDENG。WOGUOBAODAODEYINGQUBING,DUOWEIKUANGYINGKEHEPIXIAYINGKEDEYOUCHONGSUOYINQIDEYANYINGQUBINGHEPIFUYINGQUBING,KOUQIANGYINGQUBINGJIWEIHANJIAN。CILEIJIHUANFABINGDEYUANYINDADUOYUHUANZHEDEGERENSHENGHUOXIGUAN、WEISHENGZHUANGKUANGYOUGUAN。YOUYUYINGFEIXINGSUDUJIKUAI,DANGPENGZHUANGDAORENYAN、ER、BIHUOQITASHANGKOUSHI,KEJIANGYOUCHONGTOURUJIEMONANGNEI、ERNEIHUOSHANGKOUSHANGYINQIFABING。BENLIYINGQUZHENGWEIJINYING3LINGYOUCHONGSUOZHI,GAIQUCHONGNENGGOUSHENRUZUZHI,QINJIYANQING、BIQIANGJIKOUBUFUJINDECUIRUOBUWEI,ZAIHUANZHEJUBUWEISHENGTIAOJIANBULIANGSHI,YINFAJISHENGCHONGGANRAN,SUICHONGTIZHANGDAKEZAOCHENGJIAODASUNHAI。

 

ZHUIWENHUANZHEFABINGJINLIANGYUESHENGHUOSHI,YIZHIYUDANGDIWUNONG,BAITIANYULUTIANCAODIFANGYANG,XIDIERZUOXIUXI。WANSHANGYUYANGSHEZHOUWEIFANGWUXIUXI,MENCHUANGGUANBIBUYANMI。YOUCIPANDUANKENENGDEGANRANLAIYUANHEGANRANTUJING,SHIHUANZHEZAIYANGQUNDENGJINYINGMIJIQUYUXIUXISHUIJUESHIZHANGKOUHUXI,BEIJINYINGJIANGCHONGLUANTOUYUKOUQIANGYAYIN,YOUYUHUANZHEZUOSHANGQIANYAQUYOUBULIANGXIUFUTI,JIAZHIHUANZHEKOUQIANGWEISHENGJIAOCHA,DAOZHIYINGQUZAISHANGQIANYASHECEYAYINJIYAZHOUDAINEIJISHENG。YOUYUJINYINGLUANZAIWENDU15~40℃TIAOJIANSHIYIDEQINGKUANGXIA,JINGJIXIAOSHIJINENGFUHUACHUYOUCHONG,YOUCHONGSHENGCUNNENGLIYEJIAOQIANG,SHIHUANZHEZAIBUZHIQINGXIACHENGWEIYINGQUDEJISHENGDUIXIANG。

 

DANGYINGQUZHANGDA,JINGSHECEYAYINCHUANTONGERCHUSHI,HUANZHEJIGANJUEZHONGZHANG,JIAZHIGANRAN,JICHUXIANLINCHUANGZHUSUDEFANFUZHONGTONG。CIBINGLIDEZHILIAOJINGGUOTISHI,ZHIYAOQUANBUQINGCHUDIAOGANRANQUCHONG,DUIKOUQIANGJUBUZUOCHANGGUIKANGYANCHULI,ZHENGZHUANGJIKEXIAOCHU;DANGHUANZHENENGGOULIANGHAODIKONGZHIKOUQIANGWEISHENGHOU,CIBINGBUZAIFUFA。YINGQUZHENGZAIWOGUOHUANANWENREDIQUDUOJIAN,XIANGGUANWENXIANBAODAOSHANGWEIJIANCHUXIANYUHUABEIDIQU。SUIZHESHEHUIJINGJIDEFAZHANYURENMINSHENGHUOSHUIPINGDETIGAO,CILEIYINGQUZHENGDEFABINGYIJIWEIHANJIAN。DANCIBINGLITISHI,ZAIWEISHENGTIAOJIANHEGERENXIGUANJIAOCHADENONGMUQU,RENGYOUFABINGDEKENENG。YINGQUZHENGDUIRENCHUYOUYIDINGWEIXIE,DANGAIBINGFANGZHIBINGBUFUZA,RENHEDONGWUBINGFAYINGQUZHENGHOUJINGCHULIKEHENKUAIQUANYU,JIAOSHAOBINGFAZHENG。YINGQUBINGDEBAODAOBINGLIDUOJIANYULAONIANREN,MUQIANMANXINGBINGWOCHUANG、JIRUZHUYANGLAOYUANDELAONIANRENZHONGHUANZHEGAIBINGZHEZHUNIANZENGDUO,YINGGAIJIAQIANGCILEIRENQUNDEZHENGTIHULI,ZENGQIANGGERENWEISHENGBAOJIANYISHI,BIMIANCILEIBINGLIFASHENG

 

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口腔蝇蛆病感染症状

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