蒙脱石散致完全性肠梗阻

Complete ileus due to montmorillonite powder

1例50岁男性患者因不洁饮食出现腹泻,遵医嘱首剂口服蒙脱石散6 g,次日出现腹痛、腹胀、不排便,给予灌肠无效。查体示腹部膨隆,叩诊鼓音,全腹压痛明显,肠鸣音减弱。通过腹部CT检查患者被诊断为完全性肠梗阻。予以禁饮食、胃肠减压、灌肠通便等对症治疗5 d后,患者恢复正常排气排便。通过腹部X线、增强CT和肠镜检查排除肠道其他病变后,考虑患者的完全性肠梗阻与蒙脱石散有关。

A 50-year-old male patient had diarrhea due to unclean diet.According to the doctor′s advice,the patient received the first dose of montmorillonite powder 6 g orally.The next day,he developed abdominal pain,abdominal distention,and no defecation.Enema was ineffective.Physical examination showed abdominal distension,percussion drum sound,obvious abdominal tenderness,and reduced bowel sound.The patient was diagnosed with complete ileus by abdominal CT.After 5 days of symptomatic treatments such as diet prohibition,gastrointestinal decompression,and enema defecation,the patient returned to normal exhaust and defecation.After excluding other intestinal lesions through abdominal X-ray,enhanced CT,and enteroscopy,it is considered that the patient′s complete ileus was related to montmorillonite powder.