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在内科急诊工作中,因胃肠道痉挛性疼痛就诊者非常多见。各级医务人员对此常首选阿托品或654—2,多数数效果尚好,但也不乏无效者。笔者自1988年以来,统计此类患者118例,改用维生素K_1配以氯丙嗪肌注,取得了满意疗效。报道如下。 一般资料:此组118例均为门诊急诊患者,经临床观察及常规化验检查,确诊为胃肠道痉挛所致的腹痛,并予以排除外科急腹症。所有病例就诊前30分钟至60分钟均用过阿托品,1mg(46例)或654—210mg(34例)～15mg(18例),且因腹痛不减轻而复诊者。
In medical emergency work, patients with gastrointestinal spastic pain are very common. Medical staff at all levels of this often preferred atropine or 654-2, the majority effect is good, but there are some ineffective. Since 1988, the author of 118 cases of such patients, using vitamin K_1 with chlorpromazine intramuscular injection, and achieved satisfactory results. Reported as follows. General Information: This group of 118 patients were outpatient emergency patients, the clinical observation and routine laboratory tests, diagnosed as abdominal pain caused by gastrointestinal spasm, and to be ruled out surgical acute abdomen. Atropine, 1mg (46 cases) or 654-210mg (34 cases) ~ 15mg (18 cases) were used in all cases from 30 minutes to 60 minutes before treatment, and the patients were referred for abdominal pain without reduction.