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植物粪石性急性小肠梗阻52例分析
引用本文:孙忠义 侯宝华. 植物粪石性急性小肠梗阻52例分析[J]. 中国实用外科杂志, 1999, 19(3): 164-165
作者姓名:孙忠义 侯宝华
作者单位:大连医科大学附属第一医院普外科,第一军医大学南方医院普外科,江苏省启东市人民医院,蓟县人民医院,武警辽宁总队医院,沈阳医学院附属中心医院
摘    要:总结1981-1998年3家医院因进食山楂,柿子等所致急性小肠梗阻52例,方法根据急性小肠梗阻的临床表现,腹部X线检查,结合病前进食生山楂或柿子等病史,诊断多无困难。结论通过对发病机理的探讨,作者建议对胃肠功能低下,特别是胃大部切除史者,进食生山楂,柿子应视为禁忌。

关 键 词:粪石 鞣酸 小肠梗阻 发病机理

Analysis of 52 cases of acute small intestinal obstruction by phytobezoars.
Sun Zhongyi ,Hou Baohua,Shi Chao,et al.. Analysis of 52 cases of acute small intestinal obstruction by phytobezoars.[J]. Chinese Journal of Practical Surgery, 1999, 19(3): 164-165
Authors:Sun Zhongyi   Hou Baohua  Shi Chao  et al.
Affiliation:Sun Zhongyi *,Hou Baohua,Shi Chao,et al. *General Department of Surgery,1st Affiliated Hospital of Dalian Medical University,Dalin 116011
Abstract:Objective From 1981 to 1998,52 patients with acute small intestinal obstruction induced by phytobezoars were treated.Methods The diagnosis was not difficult based on the clinical findings,the history of eating unripe cratageous pinnatifida or persimmon and previous subtotal gastrectomy especially.Results The laparotomy was performed in 33 of 52 cases including enterotomy to take off bezoar or to milk bezoars into the colon.The other 19 cases were treated by foamed drug or mixture of Chinese traditional herbs.All patients were cured and no complications were found.Conclusion The authors suggest that it should be forbadded for those with indigestion and especially for those who had undergone subtotal gastrectomy to eat unripe cratageous pinnatifida or persimmon through the discussion of diagnosis,treatment and its mechanism.
Keywords:Phytobezoars Tannic acid Intestinal obstruction
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