暴饮暴食引起的急性胃扩张可能是致命的。
Acute gastric dilatation due to binge eating may be fatal.
作者信息
Dincel Oguzhan, Goksu Mustafa
机构信息
Department of General Surgery, Adiyaman University, Faculty of Medicine, Adiyaman, Turkey.
出版信息
North Clin Istanb. 2016 Apr 4;4(2):199-202. doi: 10.14744/nci.2016.72677. eCollection 2017.
Abstract
Acute gastric dilatation was first described by Duplay in 1833. Since the stomach has rich blood circulation, necrosis and perforation due to dilatation are rarely seen. Clinically, more than 90% of cases have complaints of vomiting. The most useful method to determine diagnosis and etiology is computerized tomography (CT). Medical treatment is suitable for cases that have no necrosis or peritonitis findings. Delay in surgical treatment increases the risk of mortality. The present case is that of a diagnosis of gastric perforation due to acute gastric dilatation in a 24-year-old female patient.
摘要
急性胃扩张于1833年由杜普雷首次描述。由于胃血液循环丰富，很少见因扩张导致的坏死和穿孔。临床上，超过90%的病例有呕吐主诉。确定诊断和病因最有用的方法是计算机断层扫描（CT）。内科治疗适用于无坏死或腹膜炎表现的病例。手术治疗延迟会增加死亡风险。本病例为一名24岁女性患者因急性胃扩张导致胃穿孔的诊断。
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