Some of your habits may give these tiny bugs the opportunity to "live" in the body, and the place where they nest can be the liver, or even the eyes... Looking at this case of liver echinococcosis in Southwest Hospital, citizens who intend to travel to pastoral areas are best not to eat raw food, drink raw water, and be cautious when contacting pets.
The liver echinococcosis invades the liver and "eats" both blood vessels
On October 9, lying on the hepatobiliary surgery bed of Southwest Hospital, the 52-year-old Sozawa felt that this time it was a death escape.
Because long-term nomadic herders have more contact with livestock and eat raw meat, Soze, a Tibetan herdsman in Ganzi County, Sichuan Province, found a huge "liver occupancy" during a local physical examination 4 years ago. Doctors consider it to be "echinococcosis", which in pastoral areas is called "insect cancer". After the eggs enter the intestine, they hatch into larvae after the intestine and reach the liver, because the liver has immune cells that can kill the insects, the insects really cannot survive, but they kill a thousand self-inflicted damage eight hundred, and after the game in the liver, a hard lesion is formed.
Due to local medical conditions, Soze has been taking medication for control. A few days ago, accompanied by his family, he went to Chongqing Southwest Hospital for treatment.
Lu Qian, attending physician of the Department of Hepatobiliary Surgery of Southwest Hospital, said that CT photos showed that the largest venous blood vessel in Soze's body, with a diameter of 3 centimeters, had all been invaded by echinococcosis lesions, and the three blood vessels of the liver linking this large blood vessel had been "eaten" by the echinococcum twice, and the only one left was not good. "Just like the highway is destroyed, we have to re-route to ensure that the blood in the liver after the operation passes through this passage back into the body, because the two blood vessels that were eaten must be reconstructed in the body, and the only remaining blood vessels must also be repaired."
The operation takes 8 hours and 40 minutes to rebuild the blood vessels in the body
This operation was performed by Bie Ping, director of the Department of Hepatobiliary Surgery, together with Lu Qian. The right half of the liver, which contains the vast majority of lesions, is removed first to better reveal the second hepatic hilar, preserving as much as possible healthy drainage vessels.
Thereafter, the posterior inferior vena cava was reconstructed with artificial blood vessels, and the outer lobe of the left liver was also skillfully reconstructed with intrahepatic plastic highs. "Cholecystectomy, right triple hepatic resection, portal vein reconstruction, partial resection of inferior vena cava artificial vascular reconstruction, high cholangioplasty, hepatic duct anastomosis"... During the 8-hour and 40-minute operation, a series of surgical names were used, and Sozawa finally saved his liver and completely removed the worm from the body.
After the operation, Sozawa has been able to eat normally and is currently about to be discharged from the hospital.
Echinococcosis is a parasitic disease
Lu Qian said that "hepatic echinococcosis", in fact, is a parasitic disease, which is endemic in Xinjiang, Qinghai, Ningxia, Gansu, Inner Mongolia and Tibet provinces and regions where animal husbandry is developed, and Chongqing is not the disease area, so everyone does not have to panic.
For echinococcosis, the cause of the disease is mostly because the eggs excreted by the canine tapeworm parasitizing the small intestine of the dog with feces are often adhered to the hair of dogs and sheep, and people are infected after swallowing food contaminated with insect eggs.
How to prevent it? Doctors said that there are almost no cases of illness in Chongqing, but the public still needs to pay attention to personal hygiene, clean diet, and avoid eating raw meat. When citizens travel to pastoral areas, they should not drink spring water and lake water at will, melons, fruits and vegetables should be washed before eating, and all kinds of meat need to be cooked thoroughly before eating, and be cautious of contact with animals such as dogs, cattle and sheep.
Special reminder Stay away from parasites, pay attention to these details of life
Doctors say the nematodes live in the eyes of humans and animals. Animals infected with this sucking nematode are dogs and cats as the main source of infection, of which dogs are the most common. If dogs and cats are infected, people may also be infected after they have contacted the secretions of the dogs' and cats' eyes and then touched their own eyes.
In recent years, ophthalmologists have come into contact with such patients, most of whom are people who have pets at home or who are accustomed to rubbing their eyes with their hands.
It is worth noting that dogs are the source of echinococcosis, and pet dogs are now new members of many families. Wash your hands carefully after contacting these animals, avoid contact with dog feces, especially small children, and do not play with pet dogs too much to avoid accidentally eating hydatid eggs. At the same time, it is also best not to give dogs to eat the raw internal organs of domestic animals to reduce the risk of disease in dogs.
■ Real cases
Don't think that this disease is more common in pastoral areas, and the parasite is far away from us. On October 9, the reporter combed the clinical cases of major hospitals in Chongqing in recent years, and there are still many cases of insects living in the human body, hoping to attract your attention.
The eyes were long and live insects, and they almost failed to keep their eyes
In the Ophthalmology Department of Southwest Hospital, there have also been cases of insects entering the human body, and they have directly "lived" in the eyes.
Uncle Xiao, a 62-year-old fuling man, suddenly lost his eyesight, and the largest letter on the test table could not be seen clearly. Upon inspection, there was a living bug in his eye, and it was still moving. In the end, the ophthalmologist performed a minimally invasive operation for him for more than 1 hour, first cutting the retina and then using forceps to pick the bug out of the eye.
This 0.5 cm long bug is called a "conjunctival sucking nematode", also called "Oriental Nematode". Li Shiying, an associate professor of ophthalmology, said that the old man's eye had been injured by a bullet from a branch before, resulting in eye injuries, "It may be that in this process, the insect carrying the insect touched his hand, and then rubbed the eye with his hand to send the worm into the eye." After the worm entered the eye, it survived and swam to the bottom of Uncle Xiao's eyes.
Eating half-raw meat, he had worms in his head
Bugs nest in the human body, causing not only liver echinococcosis, but also echinococcosis that you may never have heard of... Also in the Southwest Hospital, because of the long-term contact with livestock in the pastoral area and the habit of eating raw meat, the 56-year-old was found to have bugs in his head.
"The patient first developed epilepsy symptoms and was found to have echinococcosis after examination at the local hospital. Epilepsy is triggered because hydatid brains severely damage the tissue of the brain. Luo Xingxing, director of the Burn Research Institute of Southwest Hospital, said that later, Lao Na performed the operation of removing the brain hydatid in a hospital in Sichuan, but because the brain cross tissue had been seriously damaged, Lao Na was right hemiplegic after the operation, and the wound could not be healed, resulting in skull exposure, which was very easy to be infected.
How much trouble did these bugs that bore their heads cause? Professor Luo Xingxing recalled that at that time, the doctor performed scalp debridement and flap transfer surgery, and finally the head skin defect was completely healed. Reporter Wang Shan of this newspaper