论文部分内容阅读
患者女性,38岁,1989年5月12日晨起进食鸡蛋1个,于上午9时突然恶心,呕吐剧烈,右上腹疼痛,阵阵加剧,吐出胃内容物200ml。继而感到胸前区不适,全身大汗淋沥、四肢厥冷、抱腹弯腰。查体除右上腹压痛,腹壁紧张外,余无异常。经本院针灸科会诊,作针刺足三里、中皖穴处理。因效果不佳,急查B超,确诊为胆道蛔虫症。随即口服食醋约400ml,以镇蛔安虫,但疼痛仍然未缓解,继而肌肉注射阿托品、杜冷丁各1支,亦未能奏效,立即行胃镜检查。
Female, 38 years old, eating 1 egg on the morning of May 12, 1989 and suddenly nauseated at 9am. Severe vomiting and pain in his right upper quadrant increased his stomachache and spit out 200ml of gastric contents. Then feel chest area discomfort, the body sweat Lek, limbs Jueleng, hold the belly bend. Except for right upper quadrant tenderness, abdominal wall tension, I no exception. Acupuncture clinic by our hospital for acupuncture Zusanli, in Anhui treatment. Due to poor results, urgent investigation B-ultrasound, diagnosed as biliary ascariasis. Immediately after oral administration of vinegar about 400ml to the town of roundworm An insects, but the pain has not yet eased, and then intramuscular injection of atropine, dolantin each one, also failed to work, gastroscopy immediately.