论文部分内容阅读
我科自1988年8月～1993年5月采用口服利多卡因稀释液治疗内科急性上腹痛30例,现报告如下: 1 对象及方法 30例患者均因急性上腹疼痛入院,无急症手术指征,无利多卡因内科禁忌症及其他药物过敏史。男17例,女13例,年龄16～70岁。其中胆道蛔虫13例,胆囊炎、胆囊结石5例,急性水肿型胰腺炎2例,急性胃炎结石5例,胃溃疡2例,胃痉挛3例。分别于给药前后经B超、钡餮、胃镜等确定诊断。 患者在服用利多卡因前4小时内均经抗胆硷药、硫酸镁、心痛定、维生素K_1、甲氰咪胍等两种以上药物,3次以上处理。末次用药1小时以上腹痛无缓解或加剧,即用2％利多卡因5ml加入0.9％生理盐水100ml,摇匀一次服下,嘱翻身2～3次,使药液均匀涂布于胃腔。
Our department from August 1988 to May 1993 oral lidocaine dilution of medical treatment of acute upper abdominal pain in 30 cases are reported as follows: 1 Subjects and Methods All 30 patients admitted to hospital due to acute upper abdominal pain, no emergency surgical means Levy, no lidocaine contraindications and other drug allergy history. 17 males and 13 females, aged 16 to 70 years. Including biliary ascaris in 13 cases, cholecystitis, gallbladder stones in 5 cases, 2 cases of acute edematous pancreatitis, acute gastritis stones in 5 cases, 2 cases of gastric ulcer, stomach cramps in 3 cases. Respectively before and after administration by B-, barium, gastroscopy and other confirmed diagnosis. Patients were treated with anticholinergics, magnesium sulfate, nifedipine, vitamin K_1 and cimetidine for more than 3 times within 4 hours before taking lidocaine. The last medication more than 1 hour without any relief or aggravating abdominal pain, that is, with 2% lidocaine 5ml added 0.9% saline 100ml, shake once under the service, told stand 2 to 3 times, the liquid evenly coated in the stomach.