Fernández-Guisasola J, Requejo D, Herrero E, Palencia J, Trigo C, Peral A
Servicio de Anestesiología y Reanimación, Clínica Puerta de Hierro, Madrid.
Rev Esp Anestesiol Reanim. 1995 Nov;42(9):389-91.
We present a patient who developed pseudomembranous colitis a few days after suffering serious multiple traumas and after receiving a variety of antibiotic treatments. The patient, whose condition was further complicated by toxic megacolon, underwent subtotal colectomy and ileostomy. Toxic megacolon is a rare complication of enterocolitis due to C. difficile and is associated with a high rate of mortality. We review the cases published to date, describe the pathogenesis of the condition, and discuss the diagnostic criteria for pseudomembranous colitis, emphasizing treatment and possible complications.
我们报告一例患者,该患者在遭受严重多发伤并接受多种抗生素治疗几天后发生了伪膜性结肠炎。该患者病情因中毒性巨结肠而进一步复杂化,接受了结肠次全切除术和回肠造口术。中毒性巨结肠是艰难梭菌所致小肠结肠炎的一种罕见并发症,且死亡率很高。我们回顾了迄今为止已发表的病例,描述了该病的发病机制,并讨论了伪膜性结肠炎的诊断标准,重点强调了治疗方法及可能出现的并发症。