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肠壁积气症。两例病例报告及对1985年至1995年文献的回顾性分析

Pneumatosis intestinalis. Two case reports and a retrospective review of the literature from 1985 to 1995.

作者信息

Boerner R M, Fried D B, Warshauer D M, Isaacs K

机构信息

Department of Gastroenterology, University of North Carolina School of Medicine, Chapel Hill 27559, USA.

出版信息

Dig Dis Sci. 1996 Nov;41(11):2272-85. doi: 10.1007/BF02071412.

Abstract

Pneumatosis intestinalis (PI) is characterized by subserosal or submucosal gas-filled cysts of the gastrointestinal tract. The course may be benign or may lead to the need for urgent surgery. Knowledge of the differential diagnosis, course, and treatment modalities are key in providing optimal care to patients who present with this entity. In this article, two cases of "benign" pneumatosis seen at our institution over a one-month period are presented, along with a retrospective review of the English literature from January 1985 to March 1995. Incidence, symptoms, gross and microscopic appearance, radiographic appearance, etiology, differential diagnosis and therapy are reviewed.

摘要

肠壁囊样积气症(PI)的特征是胃肠道浆膜下或黏膜下出现充满气体的囊肿。其病程可能是良性的,也可能需要紧急手术。了解鉴别诊断、病程和治疗方式是为患有该病症的患者提供最佳护理的关键。本文介绍了我们机构在一个月内见到的两例“良性”肠壁囊样积气症病例,并对1985年1月至1995年3月的英文文献进行了回顾。文中对发病率、症状、大体和显微镜下表现、影像学表现、病因、鉴别诊断及治疗进行了综述。

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