论文部分内容阅读
糖尿病所致动力性肠梗阻,在临床上比较罕见,国内尚未见报道。 病案 陆××,住院号137804,女性,61岁,因腹痛、腹胀、便秘17天,无肛门排气2天,于1978年7月14日急诊入院。17天前病人开始便秘,逐渐出现左腹部阵发性疼痛和腹膀稍有恶心、无呕吐、发热。当地医院用泻剂和肥皂水灌肠治疗无效。腹部平片见结肠在脾曲以上扩张,拟诊为不完全性结肠梗阻。6天前钡剂灌肠发现结肠脾曲部狭窄,远端结肠正常,盲肠、升结肠和横结肠明显扩张(附X线图)。继续用泻剂和灌肠治疗,但排出钡和粪便极少,腹痛和腹胀加重。入院前2天,排便排气完全停止。
Dynamic intestinal obstruction caused by diabetes is relatively rare in clinical practice and has not been reported in China. The case of Lu X, hospital number 137804, female, 61 years old, due to abdominal pain, bloating, constipation for 17 days, no anal exhaust for 2 days, was admitted to the hospital on July 14, 1978. 17 days ago, the patient started constipation and gradually developed paroxysmal pain in the left abdomen and a slight nausea, no vomiting, and fever in the abdomen. The local hospital failed to use enema and soapy water enema treatment. Abdominal plain film shows that the colon expands above the spleen curve and is diagnosed as incomplete colonic obstruction. 6 days ago, barium enema was found in the colon and the spleen was narrowed, the distal colon was normal, and the cecum, ascending colon, and transverse colon were significantly dilated (with X-ray pictures). Treatment with laxatives and enema continues, but there is minimal discharge of sputum and feces, and abdominal pain and bloating increase. Two days before admission, defecation exhaust stopped completely.