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患者女性,12岁。因服阿苯达唑24小时腹痛就诊。患者从校医处领到阿苯达唑两片,遵医嘱于晚上9点左右自服。第二日中午,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,给解痉、镇痛、抗酸等对症治疗无缓解,于第三日晨再次就诊。查体:上腹部轻压痛,余无特殊,体温正常,经B超证实为“胆道蛔虫”。经输液观察,服用解痉药,疼痛不减。同天又一次就诊,查血象:WBC25.4×10~9/L,血淀粉酶>180U(Somogyi法)。第四日上午,全腹压痛,穿刺腹腔见
Patient female, 12 years old. Because of service albendazole 24 hours abdominal pain treatment. Patients received albendazole from the school doctor at two, as directed by the doctor at about 9 o’clock in the evening. Noon the next day, a sense of physical discomfort, reduced diet, pale, followed by abdominal pain, and gradually aggravated, about 9 o’clock at night abdominal cramps, to antispasmodic, analgesic, antacid and other symptomatic treatment without remission in Third morning morning treatment again. Examination: mild tenderness on the abdomen, I no special, normal body temperature, the B-confirmed as “biliary Ascaris.” Observed by infusion, taking antispasmodic drugs, pain diminished. The same day the doctor again, check the blood: WBC25.4 × 10 ~ 9 / L, blood amylase> 180U (Somogyi method). Fourth morning, full abdominal tenderness, puncture abdominal see