Katzka I, Katz S, Morris E
J Clin Gastroenterol. 1979 Dec;1(4):307-11. doi: 10.1097/00004836-197912000-00005.
Twenty-seven patients with acute toxic dilatation of the colon (TM) as a complication of inflammatory disease of the colon are reported. To emphasize the importance of early recognition and therapy, we separated the patients into two groups: 19 were receiving care by the authors (series A) before the development of TM, and eight were seen in consultation after its onset (series B), TM subsided with medical therapy in 13 episodes among 19 patients in series A and two of eight B. The others underwent surgical therapy. There were no deaths in either group. The differences in management and mortality from other reports suggest a program of surveillance and therapy for this life-threatening situation.
报告了27例患有急性结肠毒性扩张（TM）的患者，其为结肠炎症性疾病的并发症。为强调早期识别和治疗的重要性，我们将患者分为两组：19例在TM发生前由作者进行治疗（A组），8例在TM发作后进行会诊（B组）。A组19例患者中有13例发作、B组8例中有2例发作经药物治疗后TM消退。其他患者接受了手术治疗。两组均无死亡病例。与其他报告相比，管理和死亡率的差异提示了针对这种危及生命情况的监测和治疗方案。
