鼻腔蝇蛆病1例  

A case report of nasal myiasis

作　　者：覃继新[1] 刘津[1] 龙红兵[1] 廖培生[1] 罗小鹏[1] 高欣[1] 

机构地区：[1]右江民族医学院附属医院耳鼻咽喉科,广西百色533000

出　　处：《临床耳鼻咽喉头颈外科杂志》2012年第20期955-956,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告患者，男，66岁，因反复右侧鼻痒伴少量鼻出血于2010年10月16日入院。5d前无明显诱因出现右侧鼻痒，伴右侧鼻出血，呈滴状，量不多，但反复发作，不伴嗅觉丧失，无鼻塞、流涕，无头晕、眼花、胸闷，无畏寒、发热等不适。1d前到当地县人民医院检查，从前鼻孔取出1条白色蝇蛆，患者为求进一步诊治到我院就诊。专科查体见外鼻无畸形，左鼻腔通畅，未见明显异常，右侧鼻中隔前段、右侧下鼻甲、下鼻道等多处黏膜可见窦道，内有活动白色蝇蛆，总鼻道、中鼻道等亦可见大量蝇蛆，鼻腔内可见大量坏死黏膜（图1）。A 66-year-old male patient presented with rhinocnesmus and mild epistaxis. More than 100 mag- gots were found in the right nasal cavity by nasal endoscopy. The affected nasal mucosa was erythematous, edem- atous, ulcerated, and mild bleeding on probing was present. No nasal septal perforation or destruction of nose was noted. Middle and inferior meatus, nasopharyngeal mucosa, orbit, facial skin, oral cavity, gingiva and external auditory canal were normal. The maggot was identified as larvae Of Chrysomyia megacephala.

关 键 词：蝇蛆病 鼻腔 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]