克罗恩病中的游离穿孔
Free perforation in Crohn's disease.
作者信息
Steinberg D M, Cooke W T, Alexander-Williams J
出版信息
Gut. 1973 Mar;14(3):187-90. doi: 10.1136/gut.14.3.187.
Abstract
Free perforation is a rare complication of Crohn's disease. Seven cases were found in a total series of 360 in Birmingham. It occurs during an acute exacerbation of chronic disease, particularly in the presence of distal obstruction. The incidence of this complication may becoming less common and steroid therapy was not a precipitating factor. Primary resection of the perforated and distal obstructed bowel is likely to give the best results.
摘要
游离穿孔是克罗恩病的一种罕见并发症。在伯明翰的360例病例中总共发现了7例。它发生在慢性疾病的急性加重期，尤其是在存在远端梗阻的情况下。这种并发症的发生率可能正变得不那么常见，而且类固醇疗法不是一个诱发因素。对穿孔及远端梗阻肠段进行一期切除可能会取得最佳效果。
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