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草甘膦中毒所致幽门狭窄的外科治疗:一例报告

Surgical treatment of pyloric stenosis caused by glyphosate poisoning: A case report.

作者信息

Luo Wenjun, Lu Tingting, Li Fugen, Qian Chuan, Zhang Liuping, Sun Meng, Xu Zhengwen, Jia Yingdong

机构信息

Department of Gastrointestinal surgery, Suining Central Hospital, Suining, Sichuan, China.

出版信息

Medicine (Baltimore). 2019 Jul;98(30):e16590. doi: 10.1097/MD.0000000000016590.

DOI:10.1097/MD.0000000000016590
PMID:31348300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6709011/
Abstract

RATIONALE

Oral ingestion of glyphosate can induce gastrointestinal symptoms such as vomiting, abdominal pain, and hematochezia. Timely and effective treatment of pyloric stenosis caused by glyphosate poisoning is important.

PATIENT CONCERNS

The patient had a poor appetite, accompanied by nausea and vomiting of a small amount of dark brown material that resembled blood clots several times a day. Gastroscopy revealed gastric ulcer, a large pyloric antrum ulcer, and a deformed stomach cavity.

DIAGNOSIS

Pyloric stenosis due to glyphosate poisoning in a 36-year-old man.

INTERVENTIONS

The patients received distal gastrectomy and subsequently transferred to the ICU for further treatment. A mechanical ventilator was used to assist breathing.

OUTCOMES

Follow-up was conducted 3 years after surgery. The patient had no problem with food ingestion and experienced no discomfort, such as vomiting, nausea, coughing, or expectoration.

LESSONS

Gastrectomy is necessary to treat pyloric stenosis caused by glyphosate poisoning.

摘要

理论依据

口服草甘膦可引发胃肠道症状,如呕吐、腹痛和便血。及时有效地治疗草甘膦中毒所致的幽门狭窄至关重要。

患者情况

患者食欲不佳,伴有恶心,每天数次呕吐少量类似血凝块的深褐色物质。胃镜检查显示胃溃疡、巨大幽门窦溃疡及胃腔变形。

诊断

一名36岁男性因草甘膦中毒导致幽门狭窄。

干预措施

患者接受了远端胃切除术,随后转入重症监护病房进行进一步治疗。使用机械通气辅助呼吸。

结果

术后3年进行随访。患者进食无问题,未出现呕吐、恶心、咳嗽或咳痰等不适。

经验教训

胃切除术对于治疗草甘膦中毒引起的幽门狭窄是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9070/6709011/d65067043790/medi-98-e16590-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9070/6709011/28da262a83a9/medi-98-e16590-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9070/6709011/d65067043790/medi-98-e16590-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9070/6709011/28da262a83a9/medi-98-e16590-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9070/6709011/d65067043790/medi-98-e16590-g002.jpg

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