中国血吸虫病防治杂志 ›› 2018, Vol. 30 ›› Issue (2): 241-243.

• 病例报道 • 上一篇    

1例多发性囊尾蚴病的治疗与护理

方玉花1|邓积广2*   

  1. 1 右江民族医学院附属医院(百色 533000);2 广西壮族自治区百色市疾病预防控制中心
  • 出版日期:2018-05-11 发布日期:2018-05-14
  • 通讯作者: 邓积广
  • 作者简介:方玉花|女|本科|主管护师。研究方向:护理学

Treatment and nursing of a cysticercosis patient with multiple foci

FANG Yu-hua1| DENG Ji-guang2*   

  1. 1 Affiliated Hospital of Youjiang Medical University for Nationalities| Guangxi Zhuang Autonomous Region| Baise 533000| China; 2 Baise City Center for Disease Prevention and Control| Guangxi Zhuang Autonomous Region| China
  • Online:2018-05-11 Published:2018-05-14
  • Contact: DENG Ji?guang

摘要: 目的 分析1例多发性囊尾蚴病的相关资料及治疗与护理过程,为今后治疗及护理囊尾蚴病提供科学依据。方法 对患者的饮食既往史、诊疗经过等资料进行收集、整理和分析。结果 患者常驻地为囊尾蚴病高发区,有明确的食用“米猪肉”史,结合患者的临床表现以及辅助检查等,确定该病例罹患多发性囊尾蚴病。首次服用杀虫药(吡喹酮)后出现癫痫持续状态,经医护密切配合,积极救治35 d后,患者病情好转出院。结论 囊尾蚴病患者,特别是多发性病例,杀虫过程中应密切注意病情变化,避免因服用抗囊虫药物导致颅内压增高形成脑疝,甚至出现死亡。

关键词: 囊尾蚴病;治疗;护理

Abstract: Objective To analyze the relevant data, including medical history, treatment and nursing of one cysticercosis patient with multiple foci in Baise City, so as to provide the evidence for improving the treatment and nursing of cysticercosis in the future. Methods The data of diet history, diagnosis, treatment and nursing of the patient were collected and analyzed. Results The patient was a permanent resident in a cysticercosis high endemic area and had a definite history of eating measly pork. The combination of clinical manifestations and auxiliary examinations of the patient confirmed that he was suffered from cysticercosis with multiple foci. After the patient was firstly administered the antiparasitic treatment of cysticercosis (praziquantel), he had status epilepticus. However, with the close cooperation between physicians and nurses, his illness obviously improved and 35 days later, he discharged. Conclusion The physicians and nurses should pay much attention to the changes of illness of the patients with cysticercosis, especially the cysticercosis patients with multiple foci in the antiparasitic treatment of cysticercosis, so as to avoid cerebral herniation due to the increased intracranial pressure.

Key words: Cysticercosis; Treatment; Nursing

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