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[结肠克罗恩病:诊断与治疗问题。附11例报告]

[Colonic Crohn's disease: diagnostic and therapeutic problems. Apropos of 11 cases].

作者信息

Delavierre P, Bourdais J P, Letailleur M, Hureau J, Vayre P, Roux M

出版信息

Sem Hop. 1976 May 23;52(20):1195-1206.

PMID:189397
Abstract

The authors report a few unusual cases of Crohn's disease of the colon and discuss the diagnostic problems which are raised in such cases. They then review the various colonic diseases liable to be considered in a differential diagnosis, and which may be linked to colonic Crohn's disease, e.g. ulcerative colitis, intestinal tuberculosis, carcinoma of the colon, colonic diverticulosis and sarcoidosis. In a chapter on treatment, they emphasize the favourable effect of acexamic acid and the necessity for very wide colonic resection, and they note a complication which they encountered during surgery for Crohn's disease: lymphatic peritonitis on the 8th day after right colectomy.

摘要

作者报告了几例不寻常的结肠克罗恩病病例,并讨论了此类病例中出现的诊断问题。然后,他们回顾了在鉴别诊断中可能会考虑到的各种结肠疾病,这些疾病可能与结肠克罗恩病有关,例如溃疡性结肠炎、肠结核、结肠癌、结肠憩室病和结节病。在关于治疗的一章中,他们强调了氨甲环酸的良好效果以及进行非常广泛的结肠切除术的必要性,并且他们提到了在克罗恩病手术过程中遇到的一种并发症:右半结肠切除术后第8天发生的淋巴管性腹膜炎。

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