王姓男孩,4岁,于1977年10月25日以持续性上腹部疼痛、阵发性加剧伴发热20天入院。患儿于入院前18天曾服驱虫药3片,排出蛔虫20余条后,仍持续腹痛阵发性加剧,伴有发热。体检体温37.3℃,发育中等,营养稍差,神志清,皮肤、巩膜无黄染,心肺无异常。腹平软,上腹部轻度压痛,无包块,肝脾未扪及,肠鸣音正常。实验室检查血红蛋白8.6克%,红细胞310万/立方毫米,白细胞17,000/立方毫米,中性80%,淋巴20%。尿无异常。大便镜检:蛔虫卵2～8个/低倍视野。住院经过入院后按胆道蛔虫合并胆道感染治疗,抗感染,解痉止痛,安蛔,驱虫等综合措施,先后吐出蛔虫5条,排出蛔虫20余 Wang surname boy, 4 years old, on October 25, 1977 with persistent upper abdominal pain, paroxysmal exacerbations with fever 20 days admitted. Children in the hospital 18 days before taking the anthelmintic 3, after excreting more than 20 roundworm, abdominal pain continued to paroxysmal increase, accompanied by fever. Physical examination temperature 37.3 ℃, moderately developed, slightly less nutritious, clear mind, skin, sclera no yellow dye, no abnormal heart and lung. Abdomen soft, mild abdominal tenderness, no mass, no palpable liver and spleen, bowel sounds normal. Laboratory examination of hemoglobin 8.6 g%, erythrocytes 3.1 million / cubic mm, white blood cells 17,000 / cubic mm, 80% neutral, lymphatic 20%. No abnormal urine. Stool microscopy: roundworm eggs 2 to 8 / low power field. After hospital admission by biliary ascariasis with biliary tract infection treatment, anti-infective, antispasmodic and analgesic, safety roundworm, deworming and other comprehensive measures, spit out roundworm 5, excreted more than 20 roundworms