妊娠剧吐孕妇呕吐蛔虫1例报道

现对一例罕见妊娠剧吐孕妇呕吐蛔虫病例诊疗过程进行报道,为临床诊疗提供参考.患者女性,26岁,孕21周,因妊娠期间多次呕吐当地治疗无效就医.经辅助检查后,以妊娠剧吐、低钾血症、低钠血症收治入院,在住院当天,呕吐物中发现一条条索状成虫,长度约12 cm,后经鉴定为蛔虫成虫.该患者粪便常规检验时未检出虫卵,但是呕吐物中的虫体...

A case report of vomiting Ascaris lumbricoides in pregnant women with hyperemesis gravidarum

This paper reports the diagnosis and treatment of a rare case of vomiting Ascaris lumbricoides in pregnant women with hyperemesis gravidarum, so as to provide reference for clinical diagnosis and treatment. The patient, a 26 years old female, was 21 weeks pregnant. She received medical treatment because of multiple vomiting during pregnancy. After auxiliary examination, she was admitted to hospital with hyperemesis gravidarum, hypokalemia and hyponatremia.On the day of hospitalization, a rope roundworm with a length of about 12 cm was found in the vomit, which was later identified as Ascaris lumbricoides adult. No eggs were detected during routine fecal examination, but clusters of Ascaris lumbricoides eggs could be observed after the worms in vomit were soaked in saline for 3 days. Considering the risk of fetal teratogenesis caused by conventional antiparasitic drugs, the patient was given symptomatic treatment, discharged after symptom relief, and ordered to regularly recheck B-ultrasound and fecal routine examination. The pregnant woman has lived in the urban area and once lived in Dangchang County, Gansu Province for some time due to work reasons. Dangchang is located in Longnan and the terrain is mainly mountainous. Epidemiological investigation shows that she has a high infection rate of Ascaris lumbricoides. It is speculated that Ascaris lumbricoides infection at this time is asymptomatic infection. Pregnancy reaction induces Ascaris lumbricoides to be discharged from the mouth. Infection with Ascaris lumbricoides during pregnancy can cause malnutrition of pregnant women, affect fetal growth and development. When there are complications such as biliary Ascaris, intestinal perforation, peritonitis, appendicitis and liver abscess, it can lead to abortion, premature delivery and stillbirth, which seriously threaten the health of mothers and infants. It is suggested that the possibility of parasitic infection should not be ignored in clinical work.