Acute gastric anisakiasis. Analysis of 178 cases.
Acute gastric anisakiasis. Analysis of 178 cases.
复制标题
急性胃异尖线虫病。
DOI：
10.1001/jama.1985.03350310094032
复制
发表时间：
1985
期刊：
影响因子：
--
通讯作者：
Y. Ishii
中科院分区：
文献类型：
--
作者：
K. Sugimachi;K. Inokuchi;T. Ooiwa;T. Fujino;Y. Ishii
从1969~1984年间，我们收治了178例因异尖线虫幼虫胃粘膜穿透引起的急性胃异形虫病。由于异尖线虫的幼虫总是可以通过内窥镜观察并用活组织检查钳取出，因此强烈建议怀疑患有急性胃异尖线虫病的患者以及在胃部症状出现前12小时内吃过生鱼的患者及早进行内窥镜检查。内窥镜下切除是缓解难以忍受的疼痛的关键；缓解后，抗酸剂的应用将修复受损的胃粘膜。溃疡形成很少见。
From 1969 to 1984, we treated 178 patients with acute gastric anisakiasis caused by gastric mucosal penetration of the Anisakis larvae. Because the larvae of Anisakis can always be observed by endoscopy and removed with biopsy forceps, early performance of endoscopy is highly recommended for patients in whom acute gastric anisakiasis is suspected and for those who have eaten raw fish within 12 hours before onset of the gastric symptoms. Endoscopic removal is essential to relieve the intolerable pain; after relief, the administration of antacids will repair the damaged gastric mucosa. Ulcer formation is rare.