自拟“通肠散加味”治疗马属动物大结肠阻塞

在我区大结肠阻塞是马属动物的多发病之一，本病是因粪便秘结阻滞肠道，肠气不通，引起的腹痛起卧症。多见于冬春季节，饲喂干草者易发。笔者自2006年以来，用自拟“通肠散加味”治疗马、骡、驴大结肠阻塞135例，治愈132例，治愈率达97．8％以上，取得了满意疗效。

自拟通肠散加味对马属动物大结肠阻塞的治疗

大结肠阻塞是甘肃省定西市安定区马属动物的多发病之一，本病是因粪便秘结阻滞肠道，肠气不通引起的腹痛起卧症，临床可见患畜饮食欲减退或废绝，常回头顾腹，用蹄刨地。腹痛起卧，腹胀。听诊肠音减弱或消失，触诊腹部坚硬。患畜排粪减少或停止，有的排少量稀粪。口津少或干枯，舌苔黄厚，脉沉数，本病多见于冬春季节，

马属动物盲肠与大结肠阻塞的临床诊治

马属动物的盲肠与大结肠阻塞20世纪70～80年代在农区比较多见，近年来，随着当地退耕还林、还草政策的实施，农业机械化程度的升高、饲养管理水平的提高等原因。马属动物逐年减少，发病率逐年下降，因而有些搞临床兽医的工作人员一旦遇到该病，就无从下手，造成马属动物的死亡。给农牧民造成较大的损失，笔者把以前从事临床治疗马属动物盲肠与大结肠阻塞的经验进行总结。以便同仁在工作中参考与借鉴。

Pseudomembranous colitis presenting as acute colonic obstruction without diarrhea in a patient with gastric Burkitt lymphoma

Pseudomembranous colitis (PMC) usually manifests asfever and diarrhea in hospitalized patients treated withsystemic antibiotics. We described a case of PMC withintestinal obstruction but without diarrhea. A 60-yearold man was hospitalized for chemotherapy for the treatment of Burkitt lymphoma of the stomach. The patient became febrile and complained of crampy abdominal pain during the post-chemotherapy nadir. Plain abdominal radiography showed some intestinal gas and niveau. Because stool cytotoxin assay for clostridium difficile was positive and colon fiberscopic examination showed a pseudomembrane at the left side of the colon,and a diagnosis of PMC was made. Treatment with intracolonic vancomycin administration by colonoscopy and nasoileus tube was successful. Physicians should take into account the possibility of bowel obstruction due to PMC occurring in patients undergoing chemotherapy and perform emergency colonoscopy examination of suspected cases.

马结肠便秘的诊疗

肠便秘又名肠阻塞,中兽医称为结症,是因肠管运动和分泌功能紊乱,粪便停滞,而使某段肠管发生完全或不完全阻塞的一种急性腹痛病。该病以不同程度的腹痛,肠音减弱或消失,排粪减少或停止为特征。临床上以大结肠阻塞最常见,其次是盲肠阻塞,小结肠阻塞不常发生,小肠阻塞极少见。