Bilärische Ascaris-Infektion (biliary ascariasis) ist eine häufige chirurgische akute Bauchkrankheit, die häufiger bei Kindern und Jugendlichen auftritt und in ländlichen Gebieten häufiger vorkommt. Mit der Verbesserung der Hygieneeinrichtungen nimmt die Erkrankung der Darminfektionen ab, was auch die Inzidenz dieser Krankheit erheblich senkt.
The clinical manifestations of the disease:1.Sudden paroxysmal pain in the upper abdomen like a drill, intermission as if a normal person.2.During the attack of绞痛, accompanied by nausea and vomiting, worms may be vomited.3.Later stages have symptoms of cholangitis and various complications.4.The abdominal muscles are soft, with deep pressure pain only under the xiphoid process or in the upper right abdomen.5.No signs during the intermission.6.Severe symptoms but mild signs, 'symptom-sign discrepancy' is a characteristic of the disease.
.The principle of traditional Chinese medicine treatment for biliary ascariasis is to relieve spasm and pain, anti-inflammatory and choleretic, expel the worms, and mainly target the expulsion of intestinal worms. Western medicine treatment is mainly surgical treatment, including exploration of the common bile duct to remove worms and bile drainage. For patients with gangrenous cholecystitis, the gallbladder should be removed. For patients with biliary hemorrhage, ligation of the proper hepatic artery can be performed. Appropriate treatment should be given for other complications. Worm expulsion from the intestines should be considered during and after surgery to prevent recurrence. Worms can also be removed under endoscopic vision.
The main symptom of the disease is abdominal pain, so daily care should focus on pain relief. Non-drug pain relief methods: assist the patient in lying in bed and adopting a comfortable position, guide the patient to perform rhythmic deep breathing to achieve relaxation and pain relief.
