植物粪石性急性小肠梗阻52例分析

Analysis of 52 cases of acute small intestinal obstruction by phytobezoars.

目的总结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，结合发病前进食生山楂或柿子等病史（尤其既往行胃大部切除者），诊断多无困难。结果５２例病人中，３３例剖腹探查，包括切开胃、肠取石或肠外捏碎粪石挤入结肠。１９例以内服大承气汤、发泡剂为主的非手术疗法而缓解。病人全部治愈，无并发症。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。

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.