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1
Colonic gas explosion during therapeutic colonoscopy with electrocautery.治疗性结肠镜检查中使用电灼时发生结肠气体爆炸。
World J Gastroenterol. 2007 Oct 28;13(40):5295-8. doi: 10.3748/wjg.v13.i40.5295.
2
[Explosion of intestinal gas during surgery].
Ann Fr Anesth Reanim. 1983;2(6):431-5. doi: 10.1016/s0750-7658(83)80066-5.
3
Combustible colonic gas levels during flexible sigmoidoscopy and colonoscopy.乙状结肠镜检查和结肠镜检查期间结肠可燃气体水平
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Influence of oral mannitol bowel preparation on colonic microflora and the risk of explosion during endoscopic diathermy.
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Colonic gas explosion--is a fire extinguisher necessary?
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The oxygen reduction pathway and heat shock stress response are both required for Entamoeba histolytica pathogenicity.溶组织内阿米巴的致病性需要氧还原途径和热休克应激反应。
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本文引用的文献

1
Colonic explosion during endoscopic polypectomy: avoidable complication or bad luck?内镜下息肉切除术中结肠爆炸：是可避免的并发症还是运气不佳？
Endoscopy. 2006 Sep;38(9):943-4. doi: 10.1055/s-2006-925386.
2
Argon plasma coagulation in the treatment of hemorrhagic radiation proctitis is efficient but requires a perfect colonic cleansing to be safe.氩等离子体凝固术治疗出血性放射性直肠炎疗效显著，但为确保安全，需进行完善的结肠清洁准备。
Eur J Gastroenterol Hepatol. 2004 Nov;16(12):1315-8. doi: 10.1097/00042737-200412000-00013.
3
A case of colonic gas explosion caused by electrocautery.一例电灼引起的结肠气体爆炸病例。
J Anesth. 1992 Jan;6(1):117-9. doi: 10.1007/s0054020060117.
4
Colonic perforations after gas explosion induced by argon plasma coagulation.
Endoscopy. 2004 Jun;36(6):573. doi: 10.1055/s-2004-814431.
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Electrosurgical generators: MAY 2003.电外科发生器：2003年5月
Gastrointest Endosc. 2003 Nov;58(5):656-60. doi: 10.1016/s0016-5107(03)02012-1.
6
Explosions during lower bowel electrosurgery.低位肠道电外科手术期间的爆炸。
Am J Surg. 1954 Nov;88(5):754-8. doi: 10.1016/0002-9610(54)90270-6.
7
The prevention or gas explosions in the large bowel during electrosurgery.
Surg Gynecol Obstet. 1953 Oct;97(4):463-7.
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Explosion in the colon during electrodesiccation of polyps.息肉电干燥术中结肠爆炸。
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9
The argon plasma coagulator: February 2002.
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10
Coincidental malabsorption of lactose, fructose, and sorbitol ingested at low doses is not common in normal adults.正常成年人中，偶然出现低剂量摄入乳糖、果糖和山梨醇后吸收不良的情况并不常见。
Dig Dis Sci. 2000 Dec;45(12):2357-62. doi: 10.1023/a:1005634824020.

治疗性结肠镜检查中使用电灼时发生结肠气体爆炸。

Colonic gas explosion during therapeutic colonoscopy with electrocautery.

作者信息

Ladas Spiros-D, Karamanolis George, Ben-Soussan Emmanuel

机构信息

Hepatogastroenterology Unit, 2nd Propedeutic Internal Medicine Department, "ATTIKON" General Hospital, Rimini 1, Athens 12462, Greece.

出版信息

World J Gastroenterol. 2007 Oct 28;13(40):5295-8. doi: 10.3748/wjg.v13.i40.5295.

DOI:10.3748/wjg.v13.i40.5295
PMID:17879396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4171316/
Abstract

Therapeutic colonoscopy with electrocautery is widely used around the world. Adequate colonic cleansing is considered a crucial factor for the safety of this procedure. Colonic gas explosion, although rare, is one of the most frightening iatrogenic complications during colonoscopy with electrocautery. This complication is the result of an accumulation of colonic gases to explosive concentrations, but may be prevented by meticulous bowel preparation. The purpose of this review is to discuss the indications and the types of bowel preparations for therapeutic colonoscopy, and to contribute recommendations for the adequate bowel preparation for colonoscopy with electrocautery.

摘要

带电灼术的治疗性结肠镜检查在全球被广泛应用。充分的结肠清洁被认为是该手术安全性的关键因素。结肠气体爆炸虽然罕见，但却是带电灼术的结肠镜检查期间最可怕的医源性并发症之一。这种并发症是结肠气体积聚至爆炸浓度的结果，但可通过细致的肠道准备加以预防。本综述的目的是讨论治疗性结肠镜检查的肠道准备指征和类型，并为带电灼术的结肠镜检查充分肠道准备提供建议。