患者男,32岁。剑突下阵发性剧烈绞痛,伴恶心呕吐1天就诊。腹透正常。肌注654-2 10mg,静滴庆大霉素24万U、10％葡萄糖500ml,腹痛不缓解,与体位无关,发作间歇期无不适。入院查体:T37.3℃,急性病容,弯背曲膝位。上腹部轻压痛,无反跳痛。余未发现异常。腹透示结肠内充气明显,未见液平。胃镜检查见十二指肠乳头部有一灰白色蛔虫体活动,用活检钳夹持随胃镜一并取出,疼痛缓解。 Male patient, 32 years old. Xiphoid paroxysmal severe colic, with nausea and vomiting 1 day treatment. Abdominal penetration is normal. Intramuscular injection of 654-2 10mg, intravenous infusion of gentamicin 240,000 U, 10% glucose 500ml, abdominal pain does not ease, and has nothing to do with the onset of intermittent no discomfort. Admission examination: T37.3 ℃, acute disease, bend back knee position. Upper abdominal tenderness, no rebound tenderness. I found no abnormality. Abdominal see significant inflatable colon, no level. Gastroscopy see the duodenal papilla had an off-white gray ascaris activity, biopsy forceps with gastroscope removed together, relieve pain.