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NEJM：肠壁囊样积气症气腹-病例报道

2019-03-28 xing.T 网络

肠壁囊样积气症气腹腹痛
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囊肿破裂可产生气腹和腹膜刺激。肠壁内气体和气腹的影像学检查结果可能与许多病症有关，从非危及生命的原因，如该患者，到缺血性肠道等外科急症，取决于临床情况。

患者为一名61岁的女性，因急性腹痛和腹泻和呕吐1周而到急诊就诊。她的疾病史包括慢性阻塞性肺病，正在接受吸入糖皮质激素和长效β-激动剂治疗。

经检查，腹部扩张，弥漫性压痛、肌紧张。腹部的计算机断层扫描显示小肠壁上有大量的自由空气（如图A中箭头所示）和腔外气体（如图B中箭头所示）。该患者接受了紧急剖腹手术，在大部分小肠中观察到充气、薄壁、囊状结构（如图C所示）。



肠的检查排除了穿孔，并且未切除肠道，缺乏对囊肿病理生理学机制的了解。囊肿破裂可产生气腹和腹膜刺激。肠壁内气体和气腹的影像学检查结果可能与许多病症有关，从非危及生命的原因，如该患者，到缺血性肠道等外科急症，取决于临床情况。

在就诊后的15个月内，患者反复出现了类似的腹痛，经非手术治疗。在手术后2年的随访中，患者保持良好状态。

原始出处：

Francesco Pata,et al.Pneumatosis Cystoides Intestinalis with Pneumoperitoneum.N Engl J Med 2019;https://www.nejm.org/doi/full/10.1056/NEJMicm1808960

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    2019-07-05 JR19860227

    #气腹#

    0

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    2019-07-08 一天没事干

    很好的学习机会

    0

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    2019-07-05 一天没事干

    很好的学习机会

    0

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    2019-06-24 一天没事干

    很好的学习机会

    0

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    2019-10-28 zgwhgch

    #肠壁囊样积气症#

    0

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    2019-06-06 一天没事干

    很好的学习机会

    0

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    2019-03-29 一天没事干

    很好的学习机会

    0

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    2019-03-28 旺医

    顶刊就是顶刊，谢谢梅斯带来这么高水平的研究报道，我们科里同事经常看梅斯，分享梅斯上的信息

    0