SU1338858A1 - Method of treatment of acute chronic disease of gallbladder and biliary tracts - Google Patents

Abstract

This invention relates to medicine. To shorten the treatment time and reduce the number of relapses of the disease, the contents of the duodenum, hepatic and cystic bile are sucked out. Then, a solution containing 1st anticholinergic, antibiotics, analgesics, as well as hydrocortisone and dimexide at a rate of 60 - 80 drops per minute in an amount of 250 is injected into the 12 duodenum.

Description

This invention relates to medicine, in particular to gastroenterology.

The purpose of the invention is to reduce the duration of treatment and reduce the number of recurrences of the disease.

Example 1. Ill GE, 1929, born., № and / b 10245.

Diagnosis: bile cholesterosis.

Chronic cholestatic, chronic colitis.

Complaints: pain in the right hypochondrium bitterness in the mouth, nausea, fat intolerance, unstable stool, pain in the left side.

The symptom Murphy (+), the symptom Ortner (+), the lower edge of the liver along the right midclavicular line is 1 cm below the costal arch. Duodenal intubation: E bile contains mucus, reflex occurs in 20 minutes. Oral cholecystography reveals cholesterol of the gallbladder wall, deformation of the neck of the gallbladder.

The treatment by ambulatory method for 1, 5 months (allohol, fecal, but-spa, intestopan) was ineffective. The patient in the hospital was treated according to the proposed method: the duodenum, the hepatic and cystic bile were sucked through the probe, and then the mixture was injected into the duodenum.

The following composition of the medicinal mixture was used, g%: Gentamicin Novocain Atropine Dimexide Hydrocortisone Physiological solution of table salt

Throughout the procedure, gastric contents.

The temperature of the injected mixture was 37 ° C; the volume of the medicinal mixture was 250 ml. The rate of introduction is 60 drops per minute. A total of 3 procedures were performed at intervals of 3 days.

The treatment by the proposed method lasted 10 days. The positive effect was the disappearance of pain in the right hypochondrium, bitter taste in the mouth, and pain in the area of the projection of the gallbladder. The symptoms of Murphy and Ortner have become negative. The size of the liver is not

0.03 0.04 0.0004 3.0 0.04

The rest was aspirated

five

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changed. All procedures ill transferred well. During examination after 9 months of relapse did not have.

Example 2. Patient B.Ya. A., 1935, born No. and / b 3847.

Diagnosis: cervical cholestatic. Strepal papillitis with episodes of obstructive jaundice.

Complaints: pain in the right hypochondrium, intolerance to fried and fatty foods, nausea, epigastric pain, periodically discolored feces. Symptom Murphy (+), a symptom of Ortner (+). The pizhny edge of the liver along the right midclavicular line is 2.5 cm below the costal arch. In biochemical studies, direct bilirubin was increased to 3 mg%. In oral cholecystography, the neck of the gallbladder was deformed. In fibroduodenopathy, edema and hyperemia of the large duodenal papilla was observed. Treatment by a known method on an outpatient basis for three weeks before admission to the hospital (allohol, no-spa, oxafenamide, cerucal) without any effect ..,

The hospital was treated according to the proposed method: a gastroduodenal probe was installed, the contents of the duodenum, hepatic and gallbladder bile were sucked through the duodenal canal of the probe, and then a medicinal mixture was administered to the duodenum, the following composition, in%:

Gentamicin

Novocaine

Atropine

Dimexide

Hydrocortisone

Physiological

salt solution

 The temperature of the injected mixture, the volume of the medicinal mixture was 270 ml, the rate of injection was 80 drops per minute. During the whole procedure, gastric contents were aspirated. 0 Bsego performed 6 procedures at intervals of 1 - 3 days. The treatment by the proposed method took 14 days. The positive effect was the disappearance of pain (after the third procedure), nausea, and epigastric pain. The symptoms of Murphy and Ortner have become negative. The liver was reduced to 1 cm below the right costal arch.

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The rest is i,

Direct bilirubin decreased to 0.7 mg. Under control, after 1 g, the patient had no relapses.

Example 3. Sick M.M.YA., 1922. born., № and / b 8072.

Diagnosis: chronic cholecystitis with hypokinetic dyskinesia of the gallbladder. Chronic atrophic gastritis, histamine-refracting achlorhydri. Chronic colitis.

Complaints: dull persistent pain in the right hypochondrium and epigastric region radiating to the back, subfebrile temperature, bitter taste in the mouth, nausea, abdominal distension. -Symptom Murphy (+), Ortner symptom (-). In oral cholecystography, an enlarged, weakly contrasted gallbladder appears, an emptying after giving an irritant less than 1/3 after 2 hours. Bacteriocholi (5000 g ered from bile was detected). At the beginning, for 14 days in the hospital, the treatment was carried out according to a known method (festole, tetracycline, no-shpa injections, cerrucal). The condition improved somewhat, but these blinks continued to disturb.

It was therefore decided to carry out the treatment by the proposed method. This was used as part of the drug mixture, g%:

Gentamicin0.05

Novocain0.06

Atropin0,0006

Editor N. Dumbass

Compiled by L. Stollova

Tehred L. Olijins Proofreader E. Roshko

4159/4

Circulation 594 Subscription

VNIIPI USSR State Committee

for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., 4/5

Production and printing company, Uzhgorod, st. Project, 4

5.0 0.06

Rest

The temperature of the drug mixture was 38 ° C, the volume of the drug mixture was 300 ml, the rate of administration was 70 drops per minute. A total of 4 procedures were performed with an interval of 2 - 3 days. Treatment by the proposed method took 1 days. The effect was concluded in the complete disappearance of pain, nausea. The bitterness in the mouth has decreased. Symptom Murphy became negative. The bacteriocholi disappeared. After 8 months, the patient was sent to a sanatorium in remission, there was no relapse.

Claims (1)

Invention Formula A method for treating the exacerbation of chronic diseases of the gallbladder 25 and of the biliary ducts, including the introduction of cholinolytics, antibiotics and analgesics, imitating the fact that, in order to reduce terms of treatment and reduction of the number of re-3Q cydives, suction of the contents of the duodenum, gallbladder and hepatic bile is carried out and a solution of the medicinal mixture, additionally containing hydrocortisone and dimexide, is introduced into the duodenum, 250 to 300 ml with constant aspiration of the stomach contents. 35