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我科自1989年3月至1993年8月,用大柴胡汤合金铃子散驱除小儿胆道死蛔获得成功.所治20例系胆道蛔虫症患儿,经驱虫、对症处理后腹痛缓解或消失,但B超复查示胆道有死蛔虫或蛔虫残骸,伴不同程度胆管扩张、胆囊炎.服药后患儿均在几天内获愈(B超复查胆道蛔虫尸骸全部消失).现介绍于下.〔处方药物组成〕柴胡、黄苓、枳实、制半夏、白芍、金铃子、延胡索各6克,大黄4克,生姜三片,大枣5枚.日一剂,2天为一疗程.〔病案举例〕石×,男,9岁.1993年8月19日入院,住院号1204.患儿5天前上腹部偏右突发钻顶样疼痛,继呈阵发性,大便3天未解,先后吐蛔2条,经补液、抗感染、止痛解痉、驱蛔等治疗疼痛减轻,但剑突下及右上腹仍压痛,墨菲氏征阳性.B超示:胆总管内一条 2.8× 0.4cm平行管径无声影。诊
Our department from March 1989 to August 1993, with large Chaihu Tang alloy bell child powder to get rid of pediatric biliary death roundworm success.The rule 20 cases of biliary ascariasis in children, after deworming, symptomatic treatment of abdominal pain relief or Disappeared, but the B-complex showed dead bile or roundworm wreck debris, with varying degrees of bile duct dilatation and cholecystitis .All patients were cured within a few days after treatment (B-scan biliary ascariasis dead completely disappeared). [Prescription drug composition] Bupleurum, Huang Ling, Zhishi, pinellia, peony root, golden bell, Corydalis 6 grams each, rhubarb 4 grams, ginger three, jujube 5. Day one dose, 2 days For a course of treatment 〔〕 〔case of disease stone ×, male, 9 years old, admitted to hospital on August 19, 1993, hospital number 1204. 5 days before the abdomen in children with sudden right top of the drill-like pain, followed by paroxysmal, Stool 3 days did not understand, has spit roundworm 2, after rehydration, anti-infective, analgesic spasm, drive roundworm treatment pain relief, but still under the xiphoid and right upper quadrant tenderness, Murphy’s sign positive. Explorer within a 2.8 × 0.4cm parallel diameter silent film. Clinic