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[黏液黏稠病过程中的粪便性肠梗阻(类胎粪性肠梗阻)。X线诊断(作者译)]

[Intestinal obstruction with feces (meconium ileus equivalent) in the course of mucoviscidosis. Radiographic diagnosis (author's transl].

作者信息

Sauvegrain J, Nihoul-Fekete C, Gorin R, Brunelle F

出版信息

J Radiol Electrol Med Nucl. 1979 Jan;60(1):3-7.

PMID:430455
Abstract

Meconium ileus equivalent is a late intestinal occlusion occurring in patients suffering from mucoviscidosis. Three cases are reported in children aged, respectively, 3 years, 6 years and 10 years. In one of the observations (three year old girl), the intestinal obstruction with feces was first manifestation of a mucoviscidosis that was previously undetected. The radiological signs are identical to those found in cases of neonatal meconium ileus: intestinal obstruction and accumulation of closely spaced matter in a distended ileum (terminal part). As in cases of meconium ileus without complications, treatment consisted of enemas with water-soluble products. The high osmotic pressure of these products made it possible to remove the obstruction.

摘要

胎粪性肠梗阻等效症是一种发生在患有黏液黏稠症患者身上的晚期肠梗阻。报告了3例分别为3岁、6岁和10岁儿童的病例。在其中1例观察病例(3岁女孩)中,伴有粪便的肠梗阻是此前未被发现的黏液黏稠症的首发表现。放射学征象与新生儿胎粪性肠梗阻病例中所见相同:肠梗阻以及扩张的回肠(末端部分)内紧密排列物质的积聚。与无并发症的胎粪性肠梗阻病例一样,治疗采用水溶性产品灌肠。这些产品的高渗透压使得解除梗阻成为可能。

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