Siow S L, Wong C M, Sohail M
Department of Surgery, Sarawak General Hospital, Jalan Hospital, 93586 Kuching, Sarawak, Malaysia.
Med J Malaysia. 2009 Jun;64(2):168-9.
Gastric outlet obstruction and in particular, pyloric stenosis, is relatively common in developing countries. Acute clinical presentation is often the manifestation of biochemical and electrolyte changes. The presence of metabolic alkalosis in combination with acute renal failure should alarm us to the possibility of adult pyloric stenosis. We report a case of adult pyloric stenosis that presented as acute renal failure and discuss its pathophysiology.
胃出口梗阻，尤其是幽门狭窄，在发展中国家相对常见。急性临床表现往往是生化和电解质变化的体现。代谢性碱中毒合并急性肾衰竭的情况应使我们警惕成人幽门狭窄的可能性。我们报告一例以急性肾衰竭形式出现的成人幽门狭窄病例，并讨论其病理生理学。
