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1992年10月至1994年8月我们共收治胆绞痛51例,全部病例均行B超检查,皆为不同程度的胆囊和胆管结石。其中32例我们试用硝酸甘油贴膜敷于右上腹进行治疗,收到较好的效果,现报告如下。 一般资料 本组共32例,其中男性14例,女性18例,年龄最大68岁,最小27岁。胆绞痛在饱餐后发作12例,进脂肪餐后发作11例,腹部受到震动后发作9例。全部病例疼痛剧烈不能忍受。 治疗方法 入院后立即用生理盐水将右上腹洗净。将硝酸甘油贴膜(规格10cm~2含硝酸甘油25mg)揭去保护膜,贴在压痛最明显处。用药1h后仍未见效者,改用阿托品,654—2,维生素K_3或杜冷丁等解痉止痛药。
October 1992 to August 1994 we received a total of 51 cases of biliary colic, all cases underwent B-ultrasound, all of varying degrees of gallbladder and bile duct stones. 32 cases of which we try to apply nitroglycerin spread in the right upper quadrant for treatment, received good results, are as follows. General information The group of 32 cases, including 14 males and 18 females, the oldest 68 years old, the youngest 27 years old. Biliary colic occurred in 12 cases after the meal, into fat meal attack in 11 cases, 9 cases of abdominal shock after the attack. Severe pain in all cases can not stand. Treatment Immediately after admission, wash the right upper quadrant with saline. The nitroglycerin film (size 10cm ~ 2 nitroglycerin 25mg) peeled off the protective film, posted on the most obvious tenderness Department. 1h after treatment has not been effective, switch to atropine, 654-2, vitamin K_3 or pethidine antispasmodic painkillers.