Release date: 2017-05-31
In the intestines, aphids are intestinal ascariasis, which is a common parasitic disease. The "sugar pills" that we gave to school when we were young are the aphids that remove the stomach infection. Aphids have the characteristics of drilling holes, so biliary ascariasis can occur occasionally, and even mites mites, but it is rare. Most of the "old dead" mites are digested in the small intestine, so it is rare to remove aphids from the anus.
On one occasion, a teenager was sent to the emergency room of our hospital and suffered severe abdominal pain. According to the family's description, the boy felt pain in his stomach when he was out of school that afternoon. At that time, he thought that there was nothing wrong with it. The family thought that his stomach was not good. He gave him some fragrant scent, so he let him rest in bed, but did not expect a After an hour, it became more and more serious, and he was sore in the bed that he curled up and screamed at his stomach. After eating a few tablets of painkillers, they did not stop but nausea and vomiting. Then he was sent to a small clinic in the village. A native doctor in the village saw his inflated stomach and volunteered to relieve his pain and acupuncture. A few needles were placed on the acupuncture points of the hands, legs and abdomen, and the pain in the stomach suddenly subsided. However, the good times did not last long. Just when the parents and doctors were lucky, the children’s stomach hurt even more. The parents then panicked and quickly sent the children from the suburbs to the city for emergency treatment.
When I was sent, I was out of the clinic and this case came to my hand. I touched the child's stomach, feeling that the state was hard, the abdominal muscles were extremely tense, and refused to press. An X-ray examination was performed to show that there was gas in the abdominal cavity that should not appear.
Imaging examination combined with clinical manifestations, apparently this is a case of peritonitis secondary to peritonitis, which belongs to the scope of emergency surgery. Peritonitis is very common in the clinic. It is a minor disease, but once it is serious, it may be life-threatening. It is imperative to repair the perforation with emergency surgery. Hurry to tell the nurse and the lower level doctor to prepare the operating room and surgical equipment, change the surgical gown and brush the hands to disinfect. When we cut the abdominal wall into the abdominal cavity according to the operation routine, the swollen intestinal fistula suddenly swelled and the peritoneum was bulged from the scalpel. . I quickly kept the intestines protected, to avoid excessive leakage of the intestines, and told the table to help the intestines to lay a small sheet and cover the intestines. At this time, I suddenly found that there were a few "white belts" under my hands, and I also drilled my belly with my intestines. I twisted my body like a lazy waist. Some of them actually followed my hand and plunged into my fingers, itching, carefully. Seeing it is a chubby worm! Later, several locusts were drilled from the intestine perforation, and the intestines smashed like a balloon. Open a large number of intestines that have been fibrotic and viscous for a long time, open the omentum and small omentum, and then carefully check that not only there are numerous aphids in the intestines, but also many aphids have drilled intestines in the abdominal cavity. Move it! The strips are white and fat!
Long mites in the stomach are very common cases. Under normal circumstances, some acaricides are prescribed. For example, our common medications include levamisole, albendazole tablets, etc. The latter is the Skechdin, which we often say, can The worms parasitic in the intestines are killed or expelled, and can effectively act on common intestinal worms such as aphids, hookworms, mites, mites, etc., and directly act on the worms after oral administration to exert insecticidal or deworming effects. Some cases with a little more seriousness, such as aphids drilling the intestines, running outside the intestines, parasitizing in the peritoneum, causing peritoneal irritation, and there are surgical indications that need to be cleared. However, it is very rare for a young worm to be fat and fat in this young man's belly. At that time, the nurses in the operating room immediately screamed after seeing them. Even though they had followed many mites for open surgery, they were still scared by what they saw. The moment I saw it, I was shocked for a while: the dense insects were all bugs, and they squirmed vividly! The scene has been seen once and it is hard to forget for life!
Although the scene is a bit horrible, it makes people goose bumps, but still have to endure the shock and discomfort in the heart to do the surgery. No way, I have to patiently remove these "leakworms" one by one, each one is clipped, and my heart squats, this is too much! Finally, the necrotic intestines were cut, the aphid colonies stuck in the intestines were taken out, and the torn intestines were removed, the intestines were connected, and the peritoneum and abdominal wall were cleaned. After the operation, I looked at the small bowl of the utensils held in the nurse's hand, which was full of cockroaches, and the mites that were taken out had more than half a bowl! Some mites that didn't die after touching the air still writhed in the bloody basin, and the scene looked very horrifying. The juvenile patient lying on the operating table, still under the effect of anesthesia, was still asleep, and there was no painful expression on his face when he first came to the emergency room. He replaced him with a calm face and a pot next to him. The horror of the locusts is in stark contrast. Soon the boy was pushed to the general ward for observation by the nurse.
After a few days of close treatment and care, the boy finally passed the dangerous period and did not lose his life due to complications caused by a large number of mites. The young patient did not have much confidence at the beginning. Everyone saw the serious locust infection for the first time. There was always some illusion in the heart. There was not much bottom, but after the active treatment, the teenager was finally rescued. This is also a difficult case that our department has solved in recent times and is happy to be happy. The teenager is alive, but the lesson is profound. There are too many mites in his intestines, and there is no timely deworming treatment. The result is changed from general intestinal mites to sputum intestinal obstruction (that is, mites block the intestinal tract), intestinal obstruction is long, and local intestinal blood supply is insufficient, causing intestinal segments. Necrosis, and then mistakenly added the wrong to find the so-called "old Chinese medicine", was acupuncture to pierce the intestinal wall, causing intestinal perforation secondary peritonitis, love the bored aphids have been from the gut hole in the abdominal cavity ", in the abdominal cavity, a large number of breeding, and finally made a full stomach are mites.
It should be noted that the small intestine is smooth and soft and creeps. Under normal circumstances, the acupuncture needle does not pierce the intestinal wall. In the case of intestinal obstruction, the proximal intestinal lumen expands, and the intestinal wall becomes thin and fixed, which is as easy to puncture as a big balloon. Therefore, once you get an emergency, it is better to send it to the hospital in time. It is risky to use the soil method to save the emergency.
Source: Medical Valley
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