2 cases of urethral giant leeches reported _3570

yxgaxjlywf

Urethral huge leech report of 2 cases

Edema bright, open wells urethra drops slightly reddish blood. No squeezing pain, no palpable foreign body, who was dribbling of urine characteristics. Show bladder retention. Scrotal edema, without any skin changes over the pubic bone. Blood: eosinophils 0.03, the remaining were normal. Diagnosis: penile trauma. Anti-inflammatory drugs given to stop the bleeding. 7 days were observed to swelling began to subside, the 9th day of the urethra during urination, see a black object. Tweezers to pull out of a long dead leech lOcm, after the patient discharge feces smooth. Swelling saddle quickly, 14 days returned to normal size. But the bruising is not fully dissipated. Hospital recuperating. Three normal urination after October review, petechiae subsided. Without any discomfort. Normal sexual life. Example 2: male, 17 years old. Swim naked in rivers in 1989, Wei. Swollen urethra sense, not the boat means the gradual enlargement of the penis home. Purple, restless no itching, discharge water, feces poor urethral bleeding, no fever, normal diet. Parents to blame for fear and shy, lied to inflammation of the urethra without permission anti-inflammatory therapy in the village medical station on the 6th day voiding feces See ~ black object crossing. Brought to hospital by their parents saying. Physical examination: body condition excellent base of the penis swelling 22cm × 4cm. Extensive ecchymosis. No squeeze Ning, glans dark red, pale bloody fluid flow urethra. Well see a black object, suprapubic area without edema, blood eosinophils 002. Immediately due to the first diagnosis of urinary tract leech experience. Tweezers to pull out of a long dead leeches continue to out-anti-inflammatory 15cm. 3 months after the review of all back to normal. 2 to discuss the pathogenesis of giant leeches 21 {commonly known as bovine ant Chi), Tsui for the sucker, leech saliva contains a poison farmers, organizations and fiber Sui class 7k leech protease known active substances such as obvious anticoagulant effect. Histamine Village has a strong vasodilator, fiber protein localized disease can spread clinical use of these features is used leeches to draw blood, local product, the lifting of the blood vessels spasm Gui 1lj when dissolved into the blood circulation to improve the organization's purpose r. Some people have been successfully used in digital replantation. . After a huge leech into the urethra. The characteristics of the bite due to Haemophilus absorption in the urethral mucosa and the release of large amounts of active substances, and blood Doufeng Fu penis. Vasodilatory large. Fork is low, the role of the active substance rapidly bleeding, edema, local numbness, sensation, increased vascular permeability, capillary can be broken. Leakage of intravascular components, out of pink liquid. Leech body soft. Causing partial obstruction. Row feces poor, when the bladder pressure, increased urine even after extrusion parts. Residual feces and thus is not like other mechanical obstruction evident. Two patients without leech is always located within the urethra into the bladder, urethral resistance factors to consider in addition to human deep temperature, pH and chemical composition of urine may not meet the more important factor. The motion characteristics of the decision of the leech back function is poor, so the living can not exit the urethra. Two patients with partial pension levy obvious, but base themselves in good condition. Description of the release of active substances on the overall function of the human body has little effect, but the eyes increased myeloid acid that the body may have felt the direct and produce for the reaction. Penis swelling subsided represents the death of leeches, marking the inactivation of the active substance, the evolution of this process requires 5-7 days. Leech discharge mainly depends on the impact of urine. Although the disease mechanism appears to be simple. But in no instance is hard to imagine circumstances, making the cases of a patient repeatedly denied history of trauma when the penis is still misdiagnosed. 22 diagnostic clinics under the two patients see, there r 』diagnostic reference for the following characteristics: ① a history of water,[link widoczny dla zalogowanych], wear underwear can occur. @ Penis is extremely non-pitting edema, but not more than suprapubic area, insensitive. Under the pain, and the barrier itself does not match the symptoms. ⑦ penis extensive bleeding, urethral bleeding of the liquid. @ Incomplete urethral obstruction. ⑤ help increase diagnosis of eosinophilic cells. 23 treated after two cases of treatment, we are the main measures is to prevent urinary tract infections, urinary tract complications is the main measure to prevent. The use of prophylactic antibiotics may be appropriate Village, and instruct patient to drink more water. Strengthen the bladder may promote parasite slide. The contact treatment process more important question is to prevent arbitrary rule wrong treatment, it also suggests the following for reference: ① Do not do the penis skin incision decompression, such as swelling of static self-limiting. @ Former bogey swelling of the urethra to do various checks, to avoid causing urethral injury. Yu-live @ the endoscopic worm also undesirable because the leech head first. Difficult to remove after the urethra suck, forced to take leech will pull off parasites. ④ open surgery should be careful summary of the urethra 3 huge leech rare and exceptional performance. First met are easy to mistakenly saying wrong treatment. Found in the work of a similar situation may be thought of TB patients are often ashamed of such treatment. When medical treatment of anxiety disposition should do ideological work, this cream can be self-stick in people leech toxic discharge. Clinical symptoms produced by leeches rely on their cover of the material. Damage to the urethral mucosa is not serious.

	Forum SIMSON JAWA ROMET (!!) Strona Główna -> wasze motorowery	Wszystkie czasy w strefie EET (Europa)
Strona 1 z 1