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临床上胆绞痛常见,我院于1989年11月至1991年12月选择住院病例42例,用硝苯吡啶(NF)治疗,有很好的疗效。现报告如下。 临床资料 一般资料:男25例,女17例。平均年龄为42.5岁。其中急性胆囊炎4例,慢性胆囊炎急性发作12例,胆囊炎伴胆石症21例,胆蛔5例。全部病例均有B超证实。 症状与体征:发作时均有明显胆绞痛,疼痛多向右胸胁或向肩背放散,常伴有恶心呕吐。全部病例有剑突下或胆囊区压痛,莫非氏征阳性者30例,轻中度巩膜黄染12例。其中18例在入院前用阿托品,安定,维生素K_3治疗无效。 治疗方法:根据病情常规应用1—2种
Clinical common bile colic, our hospital in November 1989 to December 1991 selected 42 cases of inpatient treatment with nifedipine (NF), have a good effect. The report is as follows. General information on clinical data: 25 males and 17 females. The average age is 42.5 years old. Including acute cholecystitis in 4 cases, 12 cases of acute cholecystitis, cholecystitis with cholelithiasis in 21 cases, 5 cases of cholecystitis. All cases have B confirmed. Symptoms and signs: The onset of significant biliary colic, chest pain or more to the right shoulder Xiong Xie release, often accompanied by nausea and vomiting. All cases of xiphoid or gallbladder area tenderness, Could positive sign in 30 cases, mild and moderate scleral yellow dye in 12 cases. Among them, 18 cases were treated with atropine, diazepam and vitamin K_3 before admission. Treatment: According to the routine application of 1-2 kinds