呼吸道水蛭50例临床分析  

Clinical analysis of respiratory tract leech in 50 cases

作　　者：王长青[1] 马志强[1] 刘平华[1] 赵文敏[1] 张华[1] 

机构地区：[1]西双版纳州人民医院耳鼻咽喉科,云南西双版纳666100

出　　处：《中国耳鼻咽喉颅底外科杂志》2017年第3期280-282,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨呼吸道水蛭的诊治与预防。方法采用回顾性研究的方法,对西双版纳州人民医院耳鼻咽喉科就诊的50例呼吸道水蛭患者的临床资料进行总结并结合文献进行分析。其中21例发生贫血症状,23例患者出现神经系统症状,17例儿童患者出现发育迟缓,11例老年患者发生不同程度体重下降,均给予相应的对症处理。结果 50例患者均顺利取出水蛭,随访3~6个月,7例患者恐惧感好转,余均恢复正常,未见局部出血、溃疡等并发症。结论本病根据病史、特征性的临床症状及鼻咽喉气管镜检查可以明确诊断,接诊时应详细询问病史,及时给予正确的治疗,防止误诊误治造成严重后果。Objective To investigate the treatment and prevention of respiratory tract leech. Methods Clinical data of 50 patients with respiratory tract leech treated in our department were analyzed retrospectively combined with literature review. Results Of all the 50 patients, anemia occurred in 21, nervous system symptoms appeared in 23, 17 children got developmental delay, and 11 elderly patients showed varying degrees of weight loss. Removal of leech and corresponding symptomatic treatment were adopted. Follow-up for a period of 3 to 6 months showed that all the patients were completely recovered, except 7 got significant improvement of fear. No complications such as local hemorrhage and ulceration occurred. Conclusions The confirmed diagnosis of respiratory tract leech depends on history, characteristics of clinical symptoms, endoscopic examinations of nose, throat, trachea and bronchia. Detailed history taking during clinical reception, timely and correct treatment are essential for prevention of misdiagnosis and therapeutic error which might lead to serious consequences.

关 键 词：水蛭 呼吸道异物 边远山区 卫生宣教 

分 类 号：R765.8[医药卫生—耳鼻咽喉科] R766.8[医药卫生—临床医学]