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患者,女,12岁。因“服阿苯达唑24小时腹痛就诊”。患者入院前1天服阿苯达唑2片,第2日中午,感身体不适,饮食减少,脸色苍白。继之出现腹痛,并逐渐加剧,晚上9点左右出现上腹绞痛,予解痉,镇痛,抗酸等对症治疗。无缓解,第3日晨再次就诊。查体有轻压痛,余无特殊,体温正常。经B超证实为“胆道蛔虫”,住院输液,服用解痉药,疼痛未减,化验:WBC25.4×10~9/L,血淀粉酶≥180U(Somogyi法)。第4日上午,全腹压痛,腹腔穿刺为血性混浊液体,行剖腹探查术,见胰头胰体出血点,并
Patient, female, 12 years old. Because of “serving albendazole 24 hours abdominal pain treatment.” Patients admitted to hospital 1 day before serving albendazole 2, noon on the 2nd, feeling unwell, diet, pale. Followed by abdominal pain, and gradually aggravated, about 9 o’clock appearing abdominal cramps, to antispasmodic, analgesic, acid-resistant symptomatic treatment. No relief, again on the 3rd morning of treatment. Physical examination with mild tenderness, I no special, normal body temperature. B ultrasound confirmed as “biliary Ascaris”, hospital infusion, taking antispasmodic drugs, pain was not reduced, test: WBC25.4 × 10 ~ 9 / L, blood amylase ≥ 180U (Somogyi method). The morning of the fourth day, the whole abdominal tenderness, abdominal puncture for bloody opacity liquid line of laparotomy, see pancreatic head and body bleeding point, and