南京一女子疑吃了未煮透的水煮鱼 身上长出荨麻疹，还高烧、咳嗽 Nanjing a woman suspected ate underdone boiled fish body grow urticaria，Also high fever、cough

原来是得了南京首例颚口线虫病；专家提醒吃黄鳝、淡水鱼时必须烧熟 It is got nanjing's first jaw opening nematode disease；The expert reminds eat eel、Freshwater fish must burn cooked

　　一名年轻女子出现皮肤荨麻疹，随后高烧、咳嗽，CT显示双肺多发斑片影，随即被转至南京鼓楼医院呼吸科，最终被确诊为颚口线虫病，也就是体内感染了一种叫颚口线虫的寄生虫，服用肠虫清一周后，该女子病情明显好转。专家提醒，颚口线虫病一般都是吃了未煮熟的鱼、鳝、蛙等所导致，而该女子发病前曾有吃未煮透的水煮鱼片的经历。这也是南京报道的首例颚口线虫病患者。

A young woman occurrence skin urticaria，Then a fever、cough，CT showed double lung multiple patch shadow，He has been transferred to nanjing gulou hospital respiratory medicine，Was eventually diagnosed with jaw opening nematode disease，The body also is infected with a call jaw opening worm parasite，Taking zentel a week later，The woman was improved obviously。The expert reminds，Jaw opening nematode disease is usually eat not cooked fish、sturgeon、Frog, etc in，And the woman before the disease have been eating underdone boiled fish experience。This is the first report of nanjing jaw opening nematode disease。

　　要预防颚口线虫病其实很简单，就是吃黄鳝、泥鳅、淡水鱼时必须烧熟。根据浙江省医学科学院寄生虫研究所的试验，在70℃高温下，加热4-5分钟，颚口线虫必死无疑了。

To prevent jaw opening nematode disease actually very simple，Is eat eel、loach、Freshwater fish must burn cooked。According to zhejiang academy of medical sciences institute of parasites of the test，In the 70 ℃ high temperature，Heat 4-5 minutes，Jaw opening nematodes were as good as dead。

“在锅内滚一下的鱼片”惹祸 “In the pot of fish roll them”trouble

吃了“不太熟”的水煮鱼，年轻女子先长荨麻疹后高烧 ate“Not too familiar”Of boiled fish，Young woman first long urticaria after high fever

　　据了解，该女子今年22岁，是南京郊县一名公司职员。公司雇了一名阿姨负责烧饭，她非常清楚的记得，7月份的一天，阿姨烧了水煮鱼，为了鱼片肉质嫩滑，阿姨说只要将鱼片在锅内滚一下即可，后来她感觉到，吃的时候不太熟。

It is understood，The woman 22 years old，Nanjing suburban county is a company staff。The company hired a aunt responsible for cooking，She is very clear remember，A day in July，Aunt burned boiled fish，In order to fish flesh smooth，Aunt said as long as fish in the pot can roll them，Then she felt，Eating not too familiar。

　　半个月后，这名女子先是感觉容易疲劳，然后出现皮肤荨麻疹，还伴瘙痒，她以为是过敏，并没在意。一个星期后，她开始发烧，开始是每天晚上低烧，也没引起注意，三天后，体温越来越高，高达40℃，而且还出现了轻微咳嗽，随即到附近医院就诊，怀疑扁桃体发炎，挂了两天水，未见好转，医生建议胸片检查，胸片显示双肺斑片影，随即建议患者到南京鼓楼医院呼吸科就诊。

After half month，The woman first feel fatigue，Then occurrence skin urticaria，Also with itching，She thought is allergic，And didn't care。After a week，She began to have a fever，Beginning is every night fever，Also didn't notice，Three days later，Body temperature is more and more high，As high as 40 ℃，It appeared slight cough，He went straight to a nearby hospital see a doctor，Doubt tonsil inflammation，Hanged two tianshui，Before they get better，The doctor advised chest X-ray examination，Chest X-ray showed double lung patch shadow，Then patients are advised to nanjing gulou hospital respiratory medicine clinic。

怀疑是寄生虫感染，血液标本送到浙江化验 Doubt is the parasite infection，Blood specimens to the zhejiang assay

　　鼓楼医院呼吸科曹敏副主任医师接待了这位患者，根据CT显示的肺部影像，一开始曹主任怀疑患者是金葡菌肺炎，但金葡菌肺炎患者常常起病急促，高热的同时伴严重的咳嗽、咳痰症状，金葡菌常通过皮肤黏膜破损处感染，而该患者全身皮肤完好无损，而且也只有轻微咳嗽。

The drum tower hospital CaoMin respiratory medicine of doctor of vice director of the patients received，According to the CT shows lung imaging，The beginning of cao suspected patients is aureus pneumonia，But aureus pneumonia patients often rapid onset，High fever at the same time with severe cough、Expectoration symptoms，S. aureaus often through the skin mucosal lesions infection，And the patients the skin all over the body in good condition，But also only slight cough。

　　曹主任还通过患者的血象检查发现一个可疑之处，即该患者嗜酸细胞明显高于正常，而且随着病程进展越来越高，再详细询问，患者之前有过皮肤荨麻疹病史，有吃未煮透的水煮鱼片的经历。至此，专家高度怀疑患者感染了寄生虫。

Director cao through patient blood picture examination revealed a rat，Namely the patients acidophil significantly higher than normal，And as the disease progresses more and more high，Then ask for details of，Before patients had skin urticaria history，Is eating underdone boiled fish experience。So far，Experts highly suspected patients infected with the parasite。

　　鼓楼医院呼吸内科为该患者抽取了血液，并立即联系了浙江省医学科学院寄生虫研究所，将标本送到该研究所检测，结果显示患者颚口线虫抗体阳性。病因明确后，治疗就变得简单了，只要吃驱虫药就可以了，该患者自己介绍，仅服用一天的肠虫清后，每次大便时，都会排出一些杀死的虫体，浮在水面上，大约1厘米大小，呈蝌蚪状。

The drum tower hospital respiratory medicine for the patients extraction for blood，And immediately contacted the zhejiang academy of medical sciences institute of parasites，The specimen to the institute detection，The results showed that patients with jaw opening nematodes antibody positive。Causes after clear，Treatment was easy，If you eat anthelmintic is ok，The patient's own is introduced，Only taking a day after zentel，Every time when the shit，Some discharge from will kill insect body，Float on water，About 1 cm in size，A tadpole shape。

颚口线虫会在人体内四处游走，“走”到哪害到哪 Jaw opening nematodes will in the human body wander，“go”To which harm which

　　鼓楼医院呼吸科曹敏副主任医师介绍，颚口线虫一般寄生在黄鳝、泥鳅、青蛙及淡水鱼身上，如果生吃或吃了未烧熟的这些水产品，颚口线虫会乘机进入人体，它的可怕之处在于，它可以在人体内存活好几年，而且会全身游走，游到哪里，就会对哪里的组织器官带来损伤。

The drum tower hospital respiratory medicine of doctor of vice director of CaoMin is introduced，Jaw opening nematodes general parasitic in the eel、loach、The frog and freshwater fish body，If eaten raw or ate unburned cooked these aquatic products，Jaw opening elegans could walk into human body，It's terrible in，It can live for several years in the body，But also the whole body migration，Swam to where，Where will the tissues and organs bring damage。

　　颚口线虫如果到皮肤，可出现皮肤游走性皮下肿块，伴发热、瘙痒，患者常以为荨麻疹。如果到肺部，可引起咳嗽、发热、胸痛等症状。到消化道，就会表现出腹痛、腹泻、便秘等。到胸部，可引起胸膜炎。到喉部可导致喉头水肿、呼吸困难。到耳部可引起听力障碍。到膀胱系统可出现血尿、痒痛等。到眼睛可能失明。如果钻到大脑，可引起脑膜、脑组织病变，出现剧烈头痛、喷射性呕吐、意识障碍、肢体瘫痪，严重者还会导致死亡。

Jaw opening nematodes if to skin，Can appear skin migrating subcutaneous tumor，Associated with fever、itching，Patients often think urticaria。If to the lungs，Can cause cough、fever、Symptoms such as chest pain。To the digestive tract，Will show abdominal pain、diarrhea、Constipation, etc。To chest，Can cause pleurisy。To the throat can lead to laryngeal edema、Difficulty breathing。To the ear can cause hearing impairment。To the bladder system can appear hematuria、Urticant painful, etc。To the eyes may fail。If drill to the brain，Can cause meningeal、Brain lesions，Appear severe headache、Projectile vomiting、Disturbance of consciousness、Limb paralysis，May also lead to death。

　　受到颚口线虫感染时，患者血常规检查会出现嗜酸粒细胞明确高于正常的现象。

By jaw opening nematodes infection，Patients blood routine examination will appear acidophilic granulocyte clearly higher than the normal phenomenon。

专家提醒 吃水产品的时候一定要煮熟 The expert reminds draft products must be cooked

　　今年5月，上海检验检疫局近期连续从9批次印度尼西亚和菲律宾进口黄鳝中检出颚口线虫，这是内地口岸首次在进口黄鳝中检出颚口线虫。而外地也曾经有过报道，曾经有患者因为听信某位“养生大师”，生吃泥鳅感染颚口线虫。而本例患者是南京报道的首例颚口线虫病感染患者。

In may this year，Shanghai inspection and quarantine recent continuous from 9 batch Indonesia and the Philippines in import eel detection jaw opening nematodes，This is the first time in the mainland port imported in eel detection jaw opening nematodes。And the nonlocal also had reported，Once patients for a hearing“Master of preserve one's health”，Raw loach infection jaw opening nematodes。But this patients is nanjing reported the first jaw opening nematode disease infected patients。

　　曹敏副主任介绍，要预防颚口线虫病其实很简单，就是吃黄鳝、泥鳅、淡水鱼时必须烧熟。除了蟹要烧足10分钟外，别的一般四五分钟就够了。根据浙江省医学科学院寄生虫研究所的试验，在70℃高温下，加热4-5分钟，颚口线虫必死无疑了。

Deputy director of the CaoMin is introduced，To prevent jaw opening nematode disease actually very simple，Is eat eel、loach、Freshwater fish must burn cooked。In addition to crab to be burned foot 10 minutes outside，Other general four or five minutes is enough。According to zhejiang academy of medical sciences institute of parasites of the test，In the 70 ℃ high temperature，Heat 4-5 minutes，Jaw opening nematodes were as good as dead。

颚口线虫是什么？ Jaw opening nematodes is what？

颚口线虫 Jaw opening nematodes

　　颚口线虫属于线形动物门旋尾目颚口科颚口属。该属动物前端呈头球状，其上布满小棘，其余体表也布满小棘，体前部小棘呈鳞片状。

Jaw opening nematodes belong to linear animal door spin tail mesh jaw opening section jaw opening genera。This is the front end animal head ball，It is full of small spine，The rest of the body also is full of small spine，Devices small spine is flaky。

　　颚口线虫已确定的共有10种，其中在东南亚报道5种，在我国发现的有刚刺颚口线虫、陶氏颚口线虫和有棘颚口线虫。刚刺颚口线虫寄生于猪胃内。新鲜虫体呈淡红色，表皮薄，可透见体内白色生殖器官。陶氏颚口线虫寄生于猪胃内。虫卵两端各具一个透明突起。有棘颚口线虫寄生于猫、犬、貂等肉食性动物的胃内。

Jaw opening nematodes has certain there are 10 kinds of，The five kinds of reports in southeast Asia，In our country have found a fresh tattoo jaw opening nematodes、Dow jaw opening nematodes and spine jaw opening nematodes。Just sting jaw opening nematodes parasitic in pigs in the stomach。Fresh insect body is faint red，Skin thin，Can see through the body white reproductive organs。Dow jaw opening nematodes parasitic in pigs in the stomach。Eggs at each end with a transparent protuberance。A spine jaw opening nematodes parasitic in the cat、dog、The sable etc flesh-eater stomach inside。