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我院从1989年2月～1992年10月,采用内镜下驱虫—利胆—取虫的程序方法诊治上消化道蛔虫异位症46例,获良好疗效.1 临床资料1.1 一般资料:46例中男8例,女38例,年龄7～64岁,病程3小时～3个月.症状体征包括上腹钻顶痛、绞痛、胀痛,呕吐,呕血,黑便,发热,黄疸与上腹压痛.6例有吐蛔虫史.1.2 内镜程序诊治方法:①诊断:急诊检查32例,常规检查14例,46例共发现蛔虫105条,其中1条36例,2条3例,3～8条5例,12与23条各1例,异位于食道1例,胃5例,残胃2例,十二指肠16例,胆道22例(其中6例蛔虫完全钻进胆道).②驱虫:经内镜向十二指肠降部注入16%驱蛔灵糖浆10～20ml与适量气体,驱除以下的剩余蛔虫并防止其再度上游.③利胆:对B超提示胆总管蛔虫而内镜未见蛔虫嵌顿,但乳头口松弛、充血者,再经内镜注入33%硫酸镁20～50ml,部分患者即见蛔虫随乳头涌出的大量胆汁而被冲至肠腔.④取虫:驱
Our hospital from February 1989 to October 1992, the use of endoscopic deworming - gallbladder - take the program of diagnosis and treatment of upper gastrointestinal ascariasis in 46 cases of exudate, a good effect.1 clinical data 1.1 General Information: 46 cases of males and 8 cases, 38 females, aged 7 to 64 years old, duration of 3 hours to 3 months .Symptoms and signs include upper abdominal pain, colic, pain, vomiting, hematemesis, melena, fever, jaundice And tenderness in the upper abdomen .6 cases were history of spitting roundworms.1.2 Diagnosis and treatment of endoscopic procedures: ①Diagnosis: emergency examination in 32 cases, routine examination in 14 cases, 46 cases were found in 105 roundworm, including 1 36 cases, 2 3 cases , 3 to 8 in 5 cases, 12 and 23 in 1 case, respectively in the esophagus in 1 case, 5 cases of stomach, 2 cases of residual stomach, 16 cases of duodenum, biliary tract in 22 cases (6 cases of roundworm completely into the Biliary.) Dewormer: descending endoscopic injection into the duodenum by 16% drive roundworm Ling syrup 10 ~ 20ml and the amount of gas, get rid of the following remaining roundworm and prevent its upstream again. Common bile duct ascaris and endoscope no roundworm incarcerated, but the nipple mouth relaxation, congestion, and then endoscopic injection of 33% magnesium sulfate 20 ~ 50ml, some patients that see roundworm gush nipple with a large number of bile and was rushed to the intestine Cavity. Take the worm: drive