爱狗勿忘驱虫！广州8岁男孩右眼全白内障，祸根正是弓蛔虫
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">文/羊城晚报全<span style="color: black;">媒介</span>记者 刘欣宇 通讯员 邰梦云图/受访者<span style="color: black;">供给</span>（除署名外）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>，我国家庭竞相豢养宠物的热潮逐年升温，<span style="color: black;">喜爱</span>宠物<span style="color: black;">陪同</span>的<span style="color: black;">同期</span>，<span style="color: black;">亦</span>不可<span style="color: black;">忽略</span>其对人类尤其是儿童<span style="color: black;">导致</span>的潜在健康<span style="color: black;">害处</span>。<span style="color: black;">近期</span>，中山大学中山眼科中心接诊了一位右眼<span style="color: black;">显现</span>“白瞳”症状的8岁男童，他连视力表上最大的E字都看不清，后经诊断确诊为眼弓蛔虫病<span style="color: black;">导致</span>的白瞳症。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">该病例特殊性，在于经追根溯源矛头竟指向了家里养的一只宠物狗，这<span style="color: black;">到底</span>是怎么回事？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">羊城晚报记者<span style="color: black;">尤其</span>采访接诊此病例的中山大学中山眼科中心儿童眼底病团队，<span style="color: black;">她们</span>介绍了<span style="color: black;">关联</span>病情、致病<span style="color: black;">原由</span>以及防治手段。<span style="color: black;">近期</span>，该团队还将此病例<span style="color: black;">科研</span><span style="color: black;">发布</span>在了国际顶尖医学期刊《柳叶刀-感<span style="color: black;">患病</span>学》上。</p><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-tjoges91tu/SzP5BW24GMQaKd~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1723555100&x-signature=gK35cxOd9b%2B%2FU9ifY4DE2Dy5hrk%3D" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">右眼全眼白内障，或与未驱虫的宠物犬<span style="color: black;">相关</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近期，中山大学中山眼科中心小儿眼病综合科接诊了一位8岁小男孩<span style="color: black;">病人</span>，<span style="color: black;">孩儿</span>家长告诉<span style="color: black;">大夫</span>，男童右眼眼球发白<span style="color: black;">已然</span>超过两个月了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“<span style="color: black;">咱们</span><span style="color: black;">首要</span>给<span style="color: black;">孩儿</span>进行了视力<span style="color: black;">检测</span>，<span style="color: black;">发掘</span>他的右眼视力下降到只能勉强看到手指晃动；裂隙灯<span style="color: black;">检测</span><span style="color: black;">发掘</span>其右眼全眼白内障；再经超声检测<span style="color: black;">表示</span>右眼伴有视网膜脱离。”中山大学中山眼科中心小儿眼病综合科<span style="color: black;">专家</span>丁小燕<span style="color: black;">暗示</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大夫</span>团队深入询问家属<span style="color: black;">关联</span>病史，得知该男童家里养了一只狗，<span style="color: black;">长时间</span><span style="color: black;">爱好</span>和狗狗玩耍，且从未对狗进行过驱虫。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span><span style="color: black;">病人</span>的眼部临床表现和病史，<span style="color: black;">大夫</span>团队初步<span style="color: black;">可疑</span>其眼部感染了犬弓蛔虫。后续实验室免疫学检测<span style="color: black;">发掘</span>弓蛔虫抗体阳性。为了进一步确诊，该团队还对男孩家中的宠物犬进行了粪检，<span style="color: black;">发掘</span>该犬存在严重的犬弓蛔虫感染，从而确诊男童<span style="color: black;">身患</span>眼弓蛔虫病，<span style="color: black;">从而</span><span style="color: black;">引起</span>其右眼眼球发白，即白瞳症状。</p><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-tjoges91tu/SzP5BX11BmNdcf~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1723555100&x-signature=gmvvjn3ek7a9wmF15On9EYW77a0%3D" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">该病隐匿性极强，多发于学龄儿童</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">记者<span style="color: black;">亦</span>采访了中山大学中山眼科中心小儿眼病综合科主治<span style="color: black;">大夫</span>孙立梅，她告诉记者，“弓蛔虫病的隐匿性比较强，患病<span style="color: black;">初期</span><span style="color: black;">通常</span><span style="color: black;">无</span>什么表现，<span style="color: black;">亦</span>不会<span style="color: black;">显现</span><span style="color: black;">显著</span>的眼痛、眼红等刺激症状，<span style="color: black;">亦</span>不会有<span style="color: black;">显著</span>的视力下降。”孙立梅进一步解释，该病<span style="color: black;">平常</span>于学龄儿童，<span style="color: black;">由于</span>较成人而言，儿童缺少主观感知<span style="color: black;">疾患</span>的能力，此病极其容易被<span style="color: black;">忽略</span>，延误就诊。</p><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-tjoges91tu/SzP5BYD7C6mXJG~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1723555100&x-signature=uH5XgCg3MsayadIUD8JBWesE1kQ%3D" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“若宠物猫、狗未经过<span style="color: black;">定时</span>驱虫，其皮毛或粪便里可能会含有弓蛔虫卵，<span style="color: black;">孩儿</span>抚摸、拥抱宠物后又<span style="color: black;">无</span><span style="color: black;">即时</span>洗手就抓东西吃，虫卵就会随着<span style="color: black;">食品</span>进入<span style="color: black;">身体</span>。”孙立梅<span style="color: black;">暗示</span>，还有一种<span style="color: black;">平常</span>感染<span style="color: black;">状况</span>是，<span style="color: black;">孩儿</span>们<span style="color: black;">爱好</span>到公共场所，如到公园玩沙土，此时，若宠物猫狗或流浪猫狗将含有虫卵的粪便排泄到土壤<span style="color: black;">或</span>植被上，<span style="color: black;">孩儿</span>接触后，<span style="color: black;">一样</span><span style="color: black;">能够</span><span style="color: black;">经过</span><span style="color: black;">摄食</span>后将弓蛔虫卵摄入<span style="color: black;">身体</span>，弓蛔虫卵随即在肠道内孵出二期幼虫随血液循环迁移到眼或其他脏器致病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>，由上可知，犬、猫弓蛔虫感染仅<span style="color: black;">经过</span>“吃喝”途径随附到人体，可能是眼睛<span style="color: black;">亦</span>可能是其他脏器，但孙立梅<span style="color: black;">大夫</span><span style="color: black;">意见</span><span style="color: black;">大众</span>不必过于恐慌，此病<span style="color: black;">能够</span>预防，平常接触猫狗后多<span style="color: black;">重视</span>手卫生、<span style="color: black;">尽可能</span>避免生食<span style="color: black;">就可</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">预防是关键，有可疑症状<span style="color: black;">即时</span>就诊</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">记者还<span style="color: black;">认识</span>到，经过手术和抗炎治疗30天后，<span style="color: black;">病患</span>“白瞳症眼弓蛔虫病”的这名男童<span style="color: black;">已然</span>出院了。但在随访的6个月中，其右眼的视力并未得到<span style="color: black;">显著</span>改善。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中山大学中山眼科中心小儿眼病综合科张钊填副教授说，“家长告诉<span style="color: black;">咱们</span>说是<span style="color: black;">发掘</span><span style="color: black;">孩儿</span>眼球发白<span style="color: black;">已然</span>两个月了，<span style="color: black;">实质</span>上，只是眼球发白后容易被<span style="color: black;">发掘</span>罢了，<span style="color: black;">实质</span>病程时间应该不止两个月，且视网膜都<span style="color: black;">已然</span>脱离了。<span style="color: black;">日前</span>只能<span style="color: black;">经过</span>抗炎治疗稳定其视力，不让其进一步发展致盲，但<span style="color: black;">提高</span>视力可能性不大。”记者进一步得知，若有一只眼睛得了弓蛔虫病，另一只就<span style="color: black;">不易</span>再得了，张钊填说，这对<span style="color: black;">病人</span><span style="color: black;">来讲</span>可谓是“不幸中的万幸”。</p><img src="https://p3-sign.toutiaoimg.com/tos-cn-i-tjoges91tu/SzP5BZBAk8I5DJ~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1723555100&x-signature=fQQBL%2FaV6nxyEaIwepNDy%2BbNlsc%3D" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span>，治疗仅是对症治疗，避免<span style="color: black;">病患</span>眼弓蛔虫病预防才是关键。丁小燕<span style="color: black;">意见</span>有养猫狗的家庭要<span style="color: black;">尤其</span><span style="color: black;">重视</span>以下四点：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一是<span style="color: black;">定时</span>为宠物洗澡、体检以及驱虫，<span style="color: black;">保证</span>宠物<span style="color: black;">自己</span>健康；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">二是切断传播途径，当接触过宠物后，<span style="color: black;">必定</span>要<span style="color: black;">即时</span>洗手，尤其<span style="color: black;">针对</span>儿童等易感人群；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">三是高温处理<span style="color: black;">食品</span><span style="color: black;">亦</span>是一种预防手段，避免因生食感染寄生虫；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">四是<span style="color: black;">意见</span><span style="color: black;">大众</span><span style="color: black;">定时</span>眼健康<span style="color: black;">检测</span>，若一旦<span style="color: black;">发掘</span>有眼红、视物糊等可疑症状时，<span style="color: black;">即时</span>去正规眼科医院就诊。(<span style="color: black;">更加多</span><span style="color: black;">资讯</span><span style="color: black;">新闻</span>，请关注羊城派 pai.ycwb.com)</p>
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