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病例报告患者女性,33岁。霞浦人。1976年6月15日入院。于入院前2个月,因右眼睑红肿,用一只小青蛙剖腹敷贴右眼半小时。敷后上下睑红肿加重。经用庆大霉素、青霉素治疗数周,仍未治愈。检查:左眼正常。右眼上睑肿胀下垂,睑缘内有一酷似“内麦粒肿”肿物,上眼眶深处亦触及3个并列小肿物。余下无异常。血象正常。于入院次日在表麻下切开上睑肿物,见一条13厘米长之带状小虫从坏死组织腔内逸出。第三日又以局麻切开上眶部深处的3个小肿物,共取出虫体5条。术后上睑肿胀下垂日趋减轻,眶、睑部未再触到肿物。虫体病理诊断为裂头蚴。术后一周,患者精神状态反常,终日诉痛,认定虫未取尽,
Case Report Patient Female, 33 years old. Xiapu people. June 15, 1976 admission. 2 months before admission, due to swelling of the right eyelid, a small frog laparotomy apply the right eye half an hour. Upper and lower eyelid after application of swelling and aggravating. After treatment with gentamicin, penicillin for several weeks, still not cured. Check: Left eye is normal. Right eyelid swelling and drooping, eyelid there is a resembles “within the sty” mass, also touched the eye on the side by side 3 small tumors. No abnormalities remaining. Normal blood. On the day after admission under the table to open the upper eyelid tumor, see a 13 cm long belt-shaped insects escaped from the necrotic tissue cavity. The third day of local anesthesia and cut open the depths of the orbital three small tumors were removed five parasites. Postoperative swelling of the upper eyelid tend to reduce, orbital, eyelid no longer touch the tumor. Pathological diagnosis of parasitic larvae. One week after surgery, patients with abnormal mental status, complained of pain throughout the day, that the insects are not exhausted,