腹痛和低血压的一种罕见病因：肠道血管性水肿。
An unusual cause of abdominal pain and hypotension: angioedema of the bowel.
作者信息
Adhikari Sapana P, Schneider Jeffrey I
机构信息
Carolinas Medical Center Affiliated Hospitals, University Hospital, Charlotte, North Carolina, USA.
出版信息
J Emerg Med. 2009 Jan;36(1):23-5. doi: 10.1016/j.jemermed.2007.06.013. Epub 2007 Oct 25.
We report a case of a 50-year-old man who presented with abdominal pain and shock due to an allergic angioedema of the bowel resulting from the use of a common class of anti-hypertensive medication. After initial stabilization, a computed tomography (CT) scan was performed that documented characteristic findings and saved the patient from an unnecessary laparotomy. Although rare, this etiology of abdominal pain and hypotension should be considered as more and more individuals are taking angiotensin-converting enzyme inhibitors.
我们报告一例50岁男性患者，因使用一类常见的抗高血压药物导致肠道过敏性血管性水肿，出现腹痛和休克症状。在初步稳定病情后，进行了计算机断层扫描（CT），该扫描记录了特征性表现，使患者避免了不必要的剖腹手术。尽管这种腹痛和低血压的病因罕见，但随着越来越多的人服用血管紧张素转换酶抑制剂，应考虑到这一病因。
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