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[消胆胺治疗部分回肠结肠切除术后长期腹泻一例]

[Cholestyramine in a case of a prolonged diarrhea after a partial ileocolectomy].

作者信息

Coello-Ramírez P

出版信息

Bol Med Hosp Infant Mex. 1977 Mar-Apr;34(2):325-8.

PMID:843403
Abstract

The author reports the case of a 10 years old female child with history of retrocecal appendicular abscess complicated with terminal ileum and right colon necroses which called for partial ileocoletomy. Following this operation, the patient presented diarrhea which caused a loss in weight of 6 kgs. in two months. Antiacids and diphenoxylate were given with negative results. A low fat diet was then given and the patient recovered 1 kg. in weight, but the diarrhea persisted with high excretion of fats. Thereupon, cholestyramine and a normal diet were given followed, within the next 48 hours, by a remission of the diarrhea; the weight loss was recovered within the next 3 months. At present, the patient is still taking very small doses of cholestyramine with a normal diet.

摘要

作者报告了一例10岁女童的病例,该女童有盲肠后阑尾脓肿病史,并伴有回肠末端和右结肠坏死,因此需要进行部分回结肠切除术。手术后,患者出现腹泻,两个月内体重减轻了6公斤。给予抗酸剂和地芬诺酯治疗,效果不佳。随后给予低脂饮食,患者体重增加了1公斤,但腹泻仍持续存在,脂肪排泄量很高。于是给予考来烯胺并恢复正常饮食,随后在接下来的48小时内腹泻缓解;体重减轻在接下来的3个月内恢复。目前,患者仍在服用非常小剂量的考来烯胺并保持正常饮食。

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