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[慢性肠道假性梗阻]

[Chronic intestinal pseudo-obstruction].

作者信息

Parfenov A I, Krums L M, Bykova S V, Ahmadullina O V

机构信息

Loginov Moscow Clinical Scientific Center.

出版信息

Ter Arkh. 2020 Dec 15;92(12):4-9. doi: 10.26442/00403660.2020.12.200426.

Abstract

Chronic intestinal pseudo-obstruction a rare violation of the motor skills of the gastrointestinal complex, similar to mechanical obstruction, but without a mechanical obstacle. The development of chronic intestinal pseudo-obstruction is caused by a disturbance on the part of the smooth muscles and the nervous system of the gastrointestinal system. Common symptoms include constipation, abdominal pain, nausea, vomiting, bloating. Violation of peristalsis leads to food stagnation in the hinges of the small intestine, their dilation, the development of bacterial insemination syndrome. Eating disorders, bacterial contamination syndrome (CDDs) lead to impaired suction syndrome, cahexia. Treatment is aimed at providing adequate nutrition, the use of drugs that activate motor skills, suppress the growth of microbes in the small intestine, the implementation of intestinal decompression. Surgical treatment: resection of the affected segment of the gut. In the refractory course of the disease intestinal transplantation.

摘要

慢性肠道假性梗阻是一种罕见的胃肠系统运动功能障碍,类似于机械性肠梗阻,但不存在机械性梗阻因素。慢性肠道假性梗阻的发生是由胃肠系统平滑肌和神经系统紊乱所致。常见症状包括便秘、腹痛、恶心、呕吐、腹胀。蠕动功能障碍导致食物在小肠肠袢内停滞、肠袢扩张以及细菌感染综合征的发生。饮食紊乱、细菌污染综合征会导致吸收功能障碍、恶病质。治疗旨在提供充足营养,使用激活运动功能的药物,抑制小肠内微生物生长,进行肠道减压。手术治疗:切除肠道病变段。对于疾病难治性病程则进行肠道移植。

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