Kreisköther E, Arbogast R, Lehmann L, Kirchner T
Leber Magen Darm. 1985 May;15(3):121-4.
Perforation and peritonitis as complications of severe Crohn's disease are rare. Case reports of two young female patients are given who have been treated in 1983 because of peritonitis after perforation of Crohn's disease. The only therapeutic approach making sense is elimination of the intestine affected by the disease and repeated control laparotomies with for treatment of peritonitis and controlling sufficiency of the anastomosis. These patients are at high risk because of treatment with cortisone.
穿孔和腹膜炎作为重症克罗恩病的并发症较为罕见。本文报告了1983年因克罗恩病穿孔后继发腹膜炎而接受治疗的两名年轻女性患者。唯一合理的治疗方法是切除受疾病影响的肠道,并多次进行控制性剖腹手术以治疗腹膜炎并控制吻合口的通畅情况。由于使用了皮质醇进行治疗,这些患者面临高风险。