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我院1982年2月～1986年4月共收治胆道蛔虫症82例,均具典型的临床表现而确诊。 前2年收治之40例(甲组)入院后先给常规剂量的654-2、冬眠灵解痉止痛,顿服食醋60ml,常规服硫酸镁以利胆、肌注庆大霉素防止感染,已有明显感染者剂量加大或给氨苄青霉素静滴;待腹痛缓解后再予驱蛔。后2年收治之42例(乙组)不用654-2等抗胆碱药,不服食醋,余同甲组,另于入院后即用酚妥拉明加入液体以每分钟0.3～0.5mg量静滴,必要时4～6小时后重复一次。24小时总量不超过80～100mg,同时立即给驱蛔灵以驱虫。
Our hospital from February 1982 to April 1986 were treated in 82 cases of biliary ascariasis, were diagnosed with typical clinical manifestations. Forty cases (group A) admitted to the hospital in the first two years gave conventional doses of 654-2 after admission. The patients were treated with winter sleep spirit and antispasmodic analgesia, 60 ml vinegar daily, magnesium sulfate used as a regular bile extract and gentamicin intramuscular injection to prevent infection , There have been significantly increased dose of infection or to ampicillin intravenously; to be relieved after abdominal pain and then drive roundworm. 42 cases after 2 years (group B) without anticholinergic drugs such as 654-2, not taking vinegar, the same group A, the other with phentolamine immediately after admission liquid added 0.3 ~ 0.5mg intravenous infusion, if necessary Repeat after 4 ~ 6 hours. The total amount of 24 hours does not exceed 80 ~ 100mg, at the same time immediately drive to drive roundworm Ling deworming.