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我们自1988年1月至1989年1月,以口服异搏定治疗因胆囊炎所致右上腹持续性疼痛38例,取得比较理想的治疗效果。报道如下。资料与方法一、临床资料:诊断标准均按第8版《实用内科学》为准。全部病例经B超检查,部分有静脉胆囊造影检查,结合临床表现符合急、慢性胆囊炎诊断的住院患者68例。随机分为两组。68例都有持续12小时以上的右上腹疼痛。治疗组38例,对照组30例,年龄17～49岁,平均43.6岁;出现症状至就诊时间平均1.6日(38.4小时)。治疗组中,急性胆囊炎10例;慢性胆囊炎29例;对照组中,急性9例,慢性21例。二、治疗方法:两组病例基础治疗方案一致;合并感染者,加用氨苄青霉素2g,静注每日3次;
We from January 1988 to January 1989, with oral verapamil due to cholecystitis in the treatment of 38 cases of persistent pain in the right upper quadrant, and achieved a more ideal therapeutic effect. Reported as follows. Materials and methods First, the clinical data: diagnostic criteria are based on the eighth edition of “Practical Internal Medicine” shall prevail. All cases by B-ultrasound, some with intravenous cholecystography, combined with clinical manifestations of acute and chronic cholecystitis diagnosed 68 cases of hospitalized patients. Randomly divided into two groups. All 68 patients had right upper quadrant pain lasting more than 12 hours. The treatment group 38 cases, control group 30 cases, aged 17 to 49 years, mean 43.6 years; symptoms to treatment time average 1.6 days (38.4 hours). The treatment group, acute cholecystitis in 10 cases; chronic cholecystitis in 29 cases; control group, acute 9 cases, chronic 21 cases. Second, the treatment: two groups of patients with the same basic treatment programs; patients with infection, add ampicillin 2g, intravenous injection three times a day;