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伤寒中的小肠

Small bowel in typhoid fever.

作者信息

Chuttani H K, Jain K, Misra R C

出版信息

Gut. 1971 Sep;12(9):709-12. doi: 10.1136/gut.12.9.709.

Abstract

Twenty-eight patients with typhoid fever and one patient with paratyphoid fever were subjected to intestinal function tests (faecal fat and D-xylose) and jejunal biopsy soon after recovery from the acute phase of the disease in order to assess the residual functional and morphological status of the small bowel. The results indicate that almost 50% (14/29) initially had defective D-xylose absorption which recovered rapidly. No patient had steatorrhoea. Jejunal biopsies of eight patients out of 22 showed increased chronic cell infiltration; there was, however, no specific lesion. It appears that intestinal injury following salmonellosis results only in mild functional derangement of the bowel which recovers rapidly.

摘要

28例伤寒患者和1例副伤寒患者在疾病急性期恢复后不久接受了肠功能测试(粪便脂肪和D-木糖)及空肠活检,以评估小肠的残余功能和形态状况。结果表明,几乎50%(14/29)的患者最初存在D-木糖吸收缺陷,但恢复迅速。无一例患者有脂肪泻。22例患者中有8例的空肠活检显示慢性细胞浸润增加;然而,并无特异性病变。看来沙门氏菌病后的肠道损伤仅导致肠道轻度功能紊乱,且恢复迅速。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2899/1411789/b67be2a84389/gut00658-0034-a.jpg

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