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胆石性肠梗阻为罕见病,近年发病率随着胆石症发病率的增高而增高,本组在12年内就累计14例,高龄女性多大央杂症是本病的特点。病史三要点:1.元大肠肿瘤的大便习惯形态改变;2.无腹部手术史;3.腹痛中间缓解期;和腹部X线平片三联征:1.典型小肠梗阻的X线征象;2.胆道积气;3,胆道外结石阴影,是胆石性肠梗阻的诊断依据。手术解除结石梗阻是唯一的治疗手段。
Gallstone ileus is a rare disease, the incidence in recent years with the increased incidence of cholelithiasis in this group in 12 years, a total of 14 cases of elderly women are more than the central features of the disease. Three points of medical history: 1. Metastatic bowel habits changes in the stool; 2. No abdominal surgery history; 3. Abdominal pain in the middle of remission; and abdominal X-ray triad: 1. X-ray signs of typical small bowel obstruction; 2. Bile duct gas; 3, biliary stone shadow, is the basis for the diagnosis of gallstone ileus. Surgery to relieve stone obstruction is the only treatment.