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我们自1988年6月以来对30例胆绞痛患者试用异搏定治疗,获得良好效果,报告如下。 30例中男17例,女13例,年龄为8～61岁。其中胆道蛔虫15例,胆囊炎12例,胆石症3例。有18例在用异搏定前曾先后或多次注射阿托品、维生素K_(?)、654-2及颅通定、杜冷丁等无效。治疗前停用其它解痉止痛药(也不用驱蛔虫药),常规给予静脉输液、抗感染。治疗用异搏定口服,成人40mg/次,每日2～4次(小儿量酌减),初剂在30分钟后无效可再加相同剂量一次。结果腹痛消失16例,占53.3％;明显缓减9例,占30％;无效5例,占16.7％,总有效率达83.3％。
We since June 1988 for 30 cases of biliary colic patients with verapamil treatment, get good results, the report is as follows. 30 cases of male 17 cases, 13 females, aged 8 to 61 years old. Including 15 cases of biliary ascariasis, cholecystitis in 12 cases, 3 cases of cholelithiasis. There are 18 cases of verapamil once or several times before or after the injection of atropine, vitamin K _ (?), 654-2 and cranialtongdan, pethidine and other invalid. Before treatment disable other antispasmodic painkillers (nor drive roundworm medicine), routine intravenous infusion, anti-infection. Treatment of verapamil oral, adult 40mg / times, 2 to 4 times a day (pediatric volume reduction), the first dose of 30 minutes after the invalid can be added to the same dose again. Results abdominal pain disappeared in 16 cases, accounting for 53.3%; significantly reduced in 9 cases, accounting for 30%; ineffective in 5 cases, accounting for 16.7%, the total effective rate was 83.3%.