Waki K, Oi H, Takahashi S, Nakabayashi T, Kitani T
Lancet. 1986 Nov 15;2(8516):1124-6. doi: 10.1016/s0140-6736(86)90532-5.
Tapeworm infections are very difficult to cure completely. Thirteen patients with tapeworm infection, seven with Diphyllobothrium latum and six with Taenia saginata, were treated by the introduction of a radio-opaque contrast medium, 'Gastrografin', into the duodenum through a duodenal tube. The whole tapeworm with the scolex was expelled unfragmented within 1 h in eleven cases. One patient expelled a tapeworm 3 days after treatment; the peristalsis of his intestine had been severely disturbed after an attack of cerebral apoplexy. The tapeworm could not be expelled by the remaining patient, probably because she had severe intestinal adhesion. The injection of gastrografin allowed clear visualisation of the tapeworm, the diagnosis of the infection could be confirmed, and the descent of the tapeworm could be observed serially. This treatment had no serious adverse effects in any of out patients.
绦虫感染很难完全治愈。13例绦虫感染患者，其中7例为阔节裂头绦虫感染，6例为牛肉绦虫感染，通过十二指肠管将不透X线的造影剂“泛影葡胺”引入十二指肠进行治疗。11例患者在1小时内完整排出了带有头节的整条绦虫。1例患者在治疗3天后排出绦虫；他在脑中风发作后肠道蠕动严重紊乱。其余患者的绦虫未能排出，可能是因为她有严重的肠粘连。注射泛影葡胺可清晰显示绦虫，能确诊感染，并可连续观察绦虫的下行情况。该治疗对我们所有患者均未产生严重不良反应。
