Lössner C, Stürze G, Knorr W, Kleine F D, Kleine S, Theune V
Z Gesamte Inn Med. 1986 Sep 15;41(18):510-2.
The rare clinical picture of the functional muscular distension must be demarcated from organic changes which are connected with an increase of the abdominal volume such as intraabdominal tumours, accumulations of fluid or gatherings of gas or pregnancy. In this symptom a functional disturbance is concerned which appears in patients with vegetative lability or psychic peculiarities and by changes of tension of the musculature surrounding the abdominal space leads to the intermittent or chronic protrusion of the abdomen. By means of an anaesthesia the presence of a functional cause can be made evident: after injection of anaesthetics the protruding abdominal wall is subsiding. The knowledge of the picture of the disease saves long diagnostic ways which contribute to the fact to fix labile patients extremely to the observation of their abdomen and to favour the manifestation of a neurosis. The often unsatisfying therapeutic long-term effect is in contrast to the harmlessness of this symptom.
功能性肌肉扩张这种罕见的临床表现必须与因腹腔容积增加而导致的器质性改变区分开来，这些器质性改变包括腹腔内肿瘤、积液、积气或妊娠等。这种症状涉及一种功能性紊乱，见于植物神经不稳定或有精神特质的患者，通过腹腔周围肌肉张力的改变，导致腹部间歇性或慢性突出。通过麻醉可以明确功能性病因的存在：注射麻醉剂后，突出的腹壁会回落。了解该病的表现可避免冗长的诊断过程，否则会使情绪不稳定的患者过度关注自己的腹部，进而促使神经症的显现。与该症状的无害性形成对比的是，其治疗的长期效果往往不尽人意。
