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目的探讨粪类圆线虫病误诊为不全肠梗阻的原因,并对近年相关文献进行分析。方法对2011年6月收治的1例误诊为不全肠梗阻的感染粪类圆线虫患者临床资料、治疗经过进行分析,并进行相关文献复习。结果患者急诊以不全肠梗阻收入院,外院曾诊断为“天疱疮”给予激素治疗。入院后出现急性呼吸功能衰竭,行气管插管、呼吸机辅助呼吸。在SICU进行抢救治疗,治疗期间粪便检查发现粪类圆线虫。给予驱虫治疗,40 d后痊愈出院。结论对于服用激素突然出现原因不明的消化道症状患者,应警惕罹患粪类圆线虫病的可能。
Objective To investigate the causes of misdiagnosis of enterobiasis in patients with intestinal obstruction and to analyze the related literatures in recent years. Methods The clinical data of 1 stool infecting Neisseria gonorrhoeae misdiagnosed as incomplete intestinal obstruction in June 2011 were analyzed and the related literatures were reviewed. Results Patients with incomplete intestinal obstruction received emergency hospital, the hospital has been diagnosed as “pemphigus ” to give hormone therapy. Acute respiratory failure after admission, tracheal intubation, ventilator-assisted breathing. SICU rescue treatment, stool examination found during treatment stool nematode. Given deworming treatment, 40 days after the discharge was cured. Conclusions For patients with gastrointestinal symptoms of sudden unexplained hormones, vigilance should be noted.