如何避免慢性假性肠梗阻的误诊误治

How to Avoid Misdiagnosis and Mistreatment of Chronic Intestinal Pseudo Obstruction

慢性假性肠梗阻（ Ｃ Ｉ Ｐ）病人表现为肠梗阻的一般症状，其病理基础主要是肠壁平滑肌发育不全或衰退和自主神经功能紊乱。近年研究发现该病具有四种遗传特征，即弧形指纹、二尖瓣脱垂症、肢体关节异常松弛及 １０ 岁以前即可能有便秘症状。其诊断主要依靠三种检查，即胃肠道的肌张力和运动功能检测、 Ｘ 线检查及肠壁全层的病理切片。 Ｃ Ｉ Ｐ 的治疗以减少肠道胀气、增加胃肠运动的保守治疗为主，合并严重并发症时可酌情手术治疗。

Patients with chronic intestinal pseudo obstruction (CIP)have common manifestations of intestinal obstruction. The pathology of CIP mainly includes maldevelopment and degeneration of smoth muscle in intestinal wall and dysfunction of autonomic nervous system. Recently, it has been reported by several researchers that CIP shows 4 forms of hereditary features, i.e. arc finger prints, mitral valve prolapse , arthrochalasis of extremities and constipation occuring before the age of ten. The diagnosis of CIP is made on basis of the following three tests results:determination of muscular tension and motor function of gastrointestinal tract , X ray examination and pathological examination of the whole thickness of the dilated intestinal wall.With regard to the treatment of CIP, conservative treatments are considered as the priority, such as induction of intestinal distention and increase of gatrointestinal motility. Surgical intervention is performed accordingly only when CIP is associated with severe complications.