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[胃石症——基于自身观察及文献综述的诊断问题]

[Bezoars - diagnostic problems based on own observations and literature review].

作者信息

Taczalska Anna, Nowosławska-Łuniewska Karolina, Koziarkiewicz Maria, Pawlak Paweł, Piaseczna-Piotrowska Anna

机构信息

Klinika Chirurgii i Urologii Dziecięcej, ICZMP, Rzgowska 281/289, 93-338 Łódź,

出版信息

Med Wieku Rozwoj. 2013 Jul-Sep;17(3):265-9.

Abstract

INTRODUCTION

Bezoars are concretions of human or vegetable fibers that accumulate in the gastrointestinal tract of humans and animals. Patients may remain asymptomatic for many years, and symptoms develop as bezoars increase in size to the point of obstruction or perforation. THE AIM OF THE STUDY WAS TO PRESENT: 3 cases of bezoars treated in our centre and review of the current knowledge about this disorder, emphasizing the diagnostic difficulties.

CONCLUSIONS

Physicians should consider bezoars as a differential diagnosis of acute abdomen. As bezoars may remain asymptomatic for many years, monitoring of pathogenetic and predisposing factors is essential, in particular in compulsive disorders.

摘要

引言

胃石是人类或植物纤维在人和动物胃肠道内积聚形成的凝结物。患者可能多年无症状,随着胃石体积增大至阻塞或穿孔程度时症状才会出现。本研究的目的是呈现:在我们中心治疗的3例胃石病例,并回顾关于这种疾病的现有知识,强调诊断困难。

结论

医生应将胃石视为急腹症的鉴别诊断之一。由于胃石可能多年无症状,监测致病因素和诱发因素至关重要,尤其是在强迫症患者中。

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