| 摘要: |
| ［摘要］ 目的 探讨鼻咽喉水蛭的临床特点、诊断和治疗。方法 回顾性分析92例鼻咽喉水蛭患者的临床资料。结果 92例中，水蛭位于鼻咽部81例，咽喉部11例。临床表现主要为鼻出血或痰中带血，单纯出血9例，伴异物感83例，咽喉疼痛7例，轻度呼吸困难3例。询问病史和体征表现可以确诊。术后无水蛭异物残留。结论 怀疑有该病时应详细询问病史及进行相关临床检查，而手术取出水蛭是该病有效的治疗方法。 |
| 关键词: 鼻咽喉水蛭 诊断 治疗 |
| DOI：10.3969/j.issn.1674-3806.2012.07.21 |
| 分类号:R 765 |
| 基金项目: |
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| Experience on diagnosis and treatment of 92 patients with naso-pharyngo-laryngeal leeches in primary hospital |
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WEI Yong-biao,WANG Jun,LUO Wei-jian,et al.
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Department of Otorhinolaryngology，Nandan County People′s Hospital，Guangxi 547200,China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical features, diagnosis and treatment of patients with naso-pharyngo-laryngeal leeches.Methods The clinical data of 92 patients with naso-pharyngo-laryngeal leeches were retrospectively analyzed.Results Of 92 patients, leeches were found in nasopharyngeal carity in 81 patients, leeches in laryngo pharyngeal carity in 11 patients.Main clinical manifestations were epistaxis or bloody sputum, including pure bleeding in 9 patients,foreign body sensation in 83 patients,throat pain in 7 patients, mild breathing difficulty in 3 patients.On the basis of medical history inquiry and signs performance the disease can be diagnosed. Postoperative residual leech foreign body weren′t found.Conclusion The patients suspected of suffering from this disease should be asked for details of the history and received relevant clinical examination. The effective treatment method is removal of leeches surgically. |
| Key words: Naso-pharyngo-laryngeal leeches Diagnosis Treatment |
