我院地处青海南部高原牧区,近10年来共诊治小儿皮肤蝇蛆病89例,其中致内脏器官损害者23例,均从皮肤病灶处检出牛皮蝇幼虫而确诊。本组男8例,女15例。年龄最小2岁,最大15岁,以7～15岁居多,与牛马等家畜有密切接触史。临床特征:均有游走性皮下肿块,局部红肿热痛,部位不固定,有移行钻痛,肿块顶端破溃后,排出乳白色蛆1～3条,长约3～5mm,伴有低热及全身不适等症状。7例合并心脏损害,出现阵发性心慌,胸闷、气短,ECG提示频发性早搏,T波低平,S-T段下移,3例二维超 Our hospital is located in the pastoral area of ​​southern Qinghai Province in the past 10 years, a total of 89 cases of pediatric dermatomycosis diagnosed in children, of which 23 cases of internal organ damage, were detected from the dermatological lesions of skin fly larvae were diagnosed. The group of 8 males and 15 females. The youngest 2 years old, maximum 15 years old, mostly 7 to 15 years old, and cattle and cattle and other livestock have close contact history. Clinical features: Both have migratory subcutaneous mass, local pain, swelling and pain, the site is not fixed, migratory pain, the top of the rupture of the tumor, the discharge of maggots 1 to 3, about 3 ~ 5mm, accompanied by low fever and body Discomfort and other symptoms. 7 patients with heart damage, paroxysmal palpitation, chest tightness, shortness of breath, ECG prompt premature beat, T wave low level, S-T segment down, three cases of two-dimensional ultrasonography