Department of Internal Medicine, College of Medicine, University of Kentucky, Lexington, KY 40536-0284, USA.
Int J Psychiatry Med. 2011;41(3):263-70. doi: 10.2190/PM.41.3.e.
The relationship between trichophagia, the compulsive eating of hair, and trichobezoar, the accumulation of hair within the gastrointestinal tract, illustrates the importance of the mind-body connection. Physicians ought to be cognizant of this association in the evaluation of colonic obstruction as colonic trichobezoars, though uncommon, carry a high mortality rate. Incorporation of the psychiatric and dermatological examinations is a simple way to raise clinical suspicion for the presence of a trichobezoar, and to prompt early and appropriate surgical treatment. Even after resolution, treatment of the underlying trichophagia is highly recommended to prevent future complications.
食毛癖,即强迫性地吃毛发,以及毛粪石,即毛发在胃肠道内的堆积,这两者之间的关系说明了身心联系的重要性。在评估结肠梗阻时,医生应该注意到这种关联,因为虽然结肠毛粪石不常见,但死亡率很高。纳入精神科和皮肤科检查是一种简单的方法,可以提高对毛粪石存在的临床怀疑,并促使早期和适当的手术治疗。即使在解决之后,也强烈建议治疗潜在的食毛癖,以防止未来出现并发症。