Pilling D W, Steiner G M
Br J Radiol. 1981 Jul;54(643):562-5. doi: 10.1259/0007-1285-54-643-562.
Meconium Ileus Equivalent is a condition which occurs in patients with cystic fibrosis where the ileum becomes obstructed by bowel content of abnormal consistency. Intercurrent chest infection or absence of pancreatic extract supplements are often the exacerbating cause. Plain films of the abdomen show small bowel obstruction and in some a nodular pattern in the small bowel, the nodules being larger than those seen in quiescent cystic fibrosis. Gastrografin enemas and/or enemas with acetyl cysteine can be used in the treatment of the condition, the Gastrografin having the advantage of confirming the diagnosis radiologically. The condition is important as it can be the presenting feature of cystic fibrosis in childhood and even in early adult life, and the operative mortality and morbidity are high. Conservative treatment should be pursued vigorously and operation only undertaken if unavoidable.
胎粪性肠梗阻等效症是一种发生于囊性纤维化患者的病症，其中回肠被异常黏稠的肠内容物阻塞。并发的胸部感染或缺乏胰酶提取物补充剂常常是病情加重的原因。腹部平片显示小肠梗阻，部分患者小肠呈结节状，这些结节比静止期囊性纤维化患者所见的结节更大。泛影葡胺灌肠和/或用乙酰半胱氨酸灌肠可用于治疗该病症，泛影葡胺的优势在于能通过放射学检查确诊。该病症很重要，因为它可能是儿童甚至成年早期囊性纤维化的首发特征，且手术死亡率和发病率都很高。应积极采取保守治疗，仅在不可避免时才进行手术。
