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采取大剂量大黄驱除胆道蛔虫患者40例,疗效良好,现报告如下。临床资料40例中男2例,女38例,年龄19～43岁,平均32岁,均以突发阵发性右上腹痛为主,病程12～36h,平均24h。B超查胆总管内发现平行光带(B超下蛔虫体壁的亮线和贯穿中心的暗线构成特征性的双线状强回声带为诊断依据(参照周永昌,等主编.超声医学.第1版.北京;科学技术文献出版社,1989:665)准确率达95%以上),未见结石影,胆总管扩张7～11mm(正常<7mm),平均8.5mm,其中1例低热患者可见肝内胆管树枝样扩张,血常规;嗜酸粒细胞比率0.03～0.15,低热患者白细胞12×10~9/L,中性
Take large doses of rhubarb biliary ascariasis in patients with 40 cases, good effect, are as follows. Clinical data 40 cases of 2 males and 38 females, aged 19 to 43 years old, average 32 years old, all with paroxysmal paroxysmal right upper quadrant pain, duration 12 ~ 36h, an average of 24h. B found in the common bile duct common light band (B super roundworm body wall of the bright line and the dark line through the center of the composition of the characteristic double-line hyperechoic for diagnostic purposes (see Zhou Yongchang, eds. Ultrasonic Medicine. 1 edition. Beijing; Science and Technology Literature Publishing House, 1989: 665) accuracy rate of 95% or more), no stones, common bile duct dilatation 7 ~ 11mm (normal <7mm), an average of 8.5mm, Intrahepatic bile duct tree-like dilatation, blood; eosinophils ratio of 0.03 to 0.15, low fever patients with leukocytes 12 × 10 ~ 9 / L, neutral