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本文引用的文献

1
Severe metabolic alkalosis due to pyloric obstruction: case presentation, evaluation, and management.幽门梗阻所致严重代谢性碱中毒：病例报告、评估及处理
Am J Med Sci. 2006 Dec;332(6):346-50. doi: 10.1097/00000441-200612000-00007.
2
Diagnosis and therapy of primary hypertrophic pyloric stenosis in adults: case report and review of literature.成人原发性肥厚性幽门狭窄的诊断与治疗：病例报告及文献综述
J Gastrointest Surg. 2006 Feb;10(2):265-9. doi: 10.1016/j.gassur.2005.06.003.
3
[A case of tetany in a 23-year old patient as the first manifestation of chronic pyloric stenosis].[一例23岁患者以手足搐搦为慢性幽门狭窄首发表现的病例]
Pol Merkur Lekarski. 1997 May;2(11):345-6.
4
Severe metabolic alkalosis.重度代谢性碱中毒
South Med J. 1994 Feb;87(2):275-7. doi: 10.1097/00007611-199402000-00028.
5
The need for chloride replacement in the correction of metabolic alkalosis due to vomiting.因呕吐导致代谢性碱中毒时补充氯化物的必要性。
Br J Clin Pract. 1967 Nov 11;21(11):570-4.

成人胃出口梗阻经典生化后遗症的提示。

A reminder of the classical biochemical sequelae of adult gastric outlet obstruction.

作者信息

Ahmad Jawad, Thomson Stacey, Taylor Mark, Scoffield Julie

机构信息

Department of Surgery, Mater Hospital Belfast, Belfast, UK.

出版信息

BMJ Case Rep. 2011 Feb 2;2011:bcr0520102978. doi: 10.1136/bcr.05.2010.2978.

DOI:10.1136/bcr.05.2010.2978
PMID:22714599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3066630/
Abstract

The commonest cause of gastric outlet obstruction (GOO) is pyloric stenosis secondary to peptic ulcer disease or gastric carcinoma. Patients with GOO have unique metabolic sequelae, namely hypochloraemic, hypokalaemic metabolic alkalosis with paradoxical aciduria and hypocalcaemia. A case of a patient presenting as GOO is discussed. The aim of this report is to highlight the metabolic abnormalities and management in patients with GOO.

摘要

胃出口梗阻（GOO）最常见的原因是继发于消化性溃疡病或胃癌的幽门狭窄。胃出口梗阻患者有独特的代谢后遗症，即低氯性、低钾性代谢性碱中毒伴反常性酸性尿和低钙血症。本文讨论了一例表现为胃出口梗阻的患者。本报告的目的是强调胃出口梗阻患者的代谢异常及管理。