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于1962年6月~1963年9月间。我院儿科采用口服枸橼酸哌哔嗪和10%高渗盐水高位灌肠治疗蛔虫性肠梗阻15例,获得全部治愈,兹作简要报道如下。本文均系住院病例,年龄自4~12岁。蛔虫性肠梗阻的诊断主要根据是:(1)突然发生阵发性腹痛,特别在脐周;(2)伴有呕吐和吐虫;(3)腹部可触及索条状易变形的肿块。15例中有8例入院前有服用不足量山道年或哌哔嗪驱虫史。按每公斤体重100~150毫克剂量口服枸橼酸哌哔嗪片剂或糖浆,2小时后再服硫酸镁10~15克,再过半小时以10%高渗盐水600~800毫升高位灌肠。以上病例均在腹痛稍微缓解后进行治疗。治疗后15例均有蛔虫排出,最少5条,最多45条。
From June 1962 to September 1963. 15 cases of roundworm intestinal obstruction in our hospital pediatric oral folic acid oral administration of piperazine and 10% hypertonic saline enema, get all cured, hereby make a brief report as follows. This article are hospitalized cases, aged from 4 to 12 years old. Roundworm intestinal obstruction diagnosis is mainly based on: (1) sudden onset of paroxysmal abdominal pain, especially in the umbilical cord; (2) accompanied by vomiting and spit worms; (3) the abdomen can touch the cord-like deformation of the mass. Eight of the 15 patients had taken inadequate doses of piperidines or dipiperazine deworming prior to admission. 100 ~ 150 mg per kilogram of body weight oral administration of pipeipetrazine citrate tablets or syrup, 2 hours before serving 10 to 15 grams of magnesium sulfate, and then half an hour to 10% hypertonic saline 600 to 800 ml high enema. The above cases were treated with abdominal pain after a slight relief. After treatment, 15 cases were ascaris excretion, at least 5, up to 45.