Welch J P, Schweizer R T, Bartus S A
Am J Surg. 1980 Apr;139(4):561-8. doi: 10.1016/0002-9610(80)90338-4.
Ten cases of intestinal obstruction caused by antacid impactions in renal transplant and hemodialysis patients were added to 16 reports in the literature. In six instances, operative intervention was necessary because of failure of vigorous medical therapy. Three patients who died had perforation of the colon at sites of stercoral ulceration due to firm antacid impactions. Aggressive medical and surgical management of constipation and fecal impaction is recommended. The outlook is grim once colonic perforation has occurred.
肾移植和血液透析患者因抗酸剂嵌塞导致肠梗阻的10例病例被补充到文献中的16篇报道中。在6例中，由于积极的药物治疗失败，需要进行手术干预。3例死亡患者因坚硬的抗酸剂嵌塞导致结肠在粪性溃疡部位穿孔。建议对便秘和粪嵌塞进行积极的药物和手术治疗。一旦发生结肠穿孔，预后严峻。
