Ramón Dalmau M, Ibarz Servio L, Mauri Cunill A, Ruiz Marcellán F J
Centro Sanitario de Litiasis Renal, Instituto Dexeus, Barcelona, España.
Arch Esp Urol. 1994 Mar;47(2):159-61.
Herein we describe what may be the first case of ESWL used in the treatment of mechanical ileus caused by a fragment of clam shell lodged in the terminal ileum. The 66-year-old patient was referred by the emergency department with symptoms and signs of upper GI tract obstruction. ESWL with the modified Dornier HM3 was performed under neuroleptoanalgesia with the patient in the prone decubitus position. 1700 shock waves at 20 Kv were used to achieve fragmentation and restore intestinal transit, thus avoiding surgery.
在此，我们描述了可能是首例使用体外冲击波碎石术（ESWL）治疗由嵌顿在回肠末端的蛤壳碎片引起的机械性肠梗阻的病例。这位66岁的患者由急诊科转诊而来，伴有上消化道梗阻的症状和体征。在神经安定镇痛下，让患者处于俯卧位，使用改良的多尼尔HM3型体外冲击波碎石机进行治疗。采用20千伏的1700次冲击波来实现碎片清除并恢复肠道蠕动，从而避免了手术。
