BMJ:小肠多发低密度线性影——你想到了什么?

2016-01-21 MedSci MedSci原创

一名25岁的女性因腹痛、呕吐和腹泻求治于急诊科。

一名25岁的女性因腹痛、呕吐和腹泻求治于急诊科。

体格检查发现患者出现腹部压痛。血液检查未发现异常。双重造影对比下的腹部轴位CT扫描显示患者空肠和回肠部位出现多发低密度线性结构(箭头所指部位),提示寄生虫感染。


流行病学调查研究显示蛔虫是最常见的致病原。通常是因食用了含有蛔虫卵的不健康食物所致。大部分患者并无症状,但是可出现幼虫迁移期症状(发烧、咳嗽)或机械性堵塞问题(阑尾炎、肠阻塞)。

处置:阿苯达唑给药治疗。两周后患者症状完全消失。

原始出处:

Jamale Rizkallah, Antoine Zoghbi. Worms in the emergency department. BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i201 (Published 20 January 2016)Cite this as: BMJ 2016;352:i201.

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    2016-07-16 gaoxiaoe
  2. [GetPortalCommentsPageByObjectIdResponse(id=1847878, encodeId=3a05184e87831, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Sat Jul 16 10:59:00 CST 2016, time=2016-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=61118, encodeId=42c4611183b, content=新思路, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Wed Jan 27 18:47:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=61119, encodeId=5ade6111973, content=值得学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Wed Jan 27 18:47:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=59307, encodeId=561e5930e4e, content=思维缜密, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Tue Jan 26 09:40:00 CST 2016, time=2016-01-26, status=1, ipAttribution=)]
    2016-01-27 李继凯

    新思路

    0

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    2016-01-27 李继凯

    值得学习

    0

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    2016-01-26 I come

    思维缜密

    0

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