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伪膜性肠炎(PMC)是难辨梭菌(Cd)感染的典型表现,可散发或流行。但以急腹症为初发表现的PMC尚未见报道,本文报道6例如下。病人和方法:作者在14个月内共诊治Cd感染88例,其中以急腹症为初发表现者6例,均为男性,平均年龄64岁(42～76岁),5例住院期间应用抗生素后5～30天内发病,1例为新入院病人。所有病人的肠道致病菌培养均阴性。利用单层Hela细胞的细胞毒分析和乳胶颗粒凝集试验检测Cd及其毒素。急诊肠镜检查在未作肠道准备情况下进行,而随访肠镜检查前做肠道准备。结肠减压采用经结肠镜导丝置一多孔导管排气。结果与讨论:作者在14个月内发现6例类似急腹症的PMC,占同期Cd感染的7％,说明以急腹症为初
Pseudomembranous colitis (PMC) is a typical manifestation of Clostridium difficile (Cd) infection and can be either circulating or circulating. However, acute abdomen as the first manifestation of PMC has not been reported, reported in 6 cases below. Patients and Methods: The authors diagnosed 88 cases of Cd infection within 14 months, of which 6 cases were acute onset of acute abdomen, all of whom were male with average age of 64 years (range, 42-76 years) and 5 cases were hospitalized Antibiotics within 5 to 30 days after onset, 1 case of new patients admitted. All patients with intestinal pathogenic bacteria were negative. Cytotoxicity and latex particle agglutination test of monolayer Hela cells were used to detect Cd and its toxin. Emergency colonoscopy was performed without gut preparation and gut preparation was followed up for colonoscopy. Colon decompression by colonoscopy guide wire placed a porous catheter exhaust. Results and Discussion: In 14 months, the authors found 6 cases of PMC similar to acute abdomen, accounting for 7% of the same period of Cd infection, indicating that the early acute abdomen