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題 名 | Ischemic Bowel Disease in Chronic Dialysis Patients=慢性透析病人的缺血性腸道疾病 |
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作 者 | 洪魁宏; 李建德; 林景坤; 莊峰榮; 許國泰; 陳靖博; 簡玉樹; 潘咸亨; | 書刊名 | 長庚醫學 |
卷 期 | 22:1 1999.03[民88.03] |
頁 次 | 頁82-87 |
分類號 | 415.47 |
關鍵詞 | 缺血性腸道疾病; 慢性透析; Ischemic bowel disease; Chronic dialysis; |
語 文 | 英文(English) |
中文摘要 | 背景:缺血性腸道疾病可分為急性腸系膜缺血、大腸缺血和慢性腸系膜缺血。急 性腸系膜缺血屬高罹病率高死亡率,臨床上應避免延遲診斷和治療。慢性透析病人較易發生 血管疾病及具多重缺血疾病之危險因子,因此本文針對慢性透析病人發生缺血性腸道疾病做 一研究。 方法:本篇回顧高雄長庚紀念醫院自1986年1月至1997年4月,2416名慢性透析之尿毒患者中 ,共 5 名(男性 3 人女性 2 人)經開刀證實罹患缺血性腸道疾病。 對病人的臨床表現、 檢查、手術發現、病理報告和預後做一探討。 結果:病人主訴以腹痛、腹脹和血便為主。平均年齡為62.4歲,5名皆有高血壓,3名患高血 脂,3 名是糖尿病,3 名具�硎猼�塞史,4 名有血中白血球增生症;平均血球比容為 31 % ,影像檢查大部份以腸道膨脹為主,這些病人皆因不明原因腹膜炎而緊急開刀。手術中可見 腸發炎、腸缺血、腸壞死及腹水混濁,僅 1 位病人開刀治療後死亡, 主要因為發生廣泛性 缺血性腸炎和敗血症。 結論:對慢性透析病人而言,特別是有危險因子和相關病史者,如發生不明原因腹痛,應高 度懷疑缺血性腸道疾病,並積極早期診斷和早期治療。 |
英文摘要 | Background: Ischemic bowel disease, especially acute mesenteric ischemia, carries high morbidity and mortality rates. Any delay in diagnosis or treatment aggravates the patient's outcome. Owing to the scarcity of reports concerning ischemic bowel disease in chronic dialysis patients, we investigated the ischemic bowel disease in chronic dialysis patients. Methods: From January 1986 through April 1997, medical records of 2416 chronic dialysis patients at our hospital were reviewed. Among them, 5 patients with surgically documented ischemic bowel disease were enrolled. The clinical manifestations, laboratory findings, operative findings, pathologic test results and prognoses of these patients are reported. Results: Abdominal pain, abdominal distension and bloody stool were major initial presentations. The mean age of the patients was 62.4 years at the time of diagnosis of ischemia. All patients had hypertension, 3 patients had hyperlipidemia, three patients had diabetes mellitus and three patients had history of shunt occlusion. Four patients had leukocytosis. Image studies revealed dilatation of bowel loops in four patients. Peritonitis made exploratory laparotomy necessary. The findings during operation showed turbid ascites and variable degrees of bowel ischemia or gangrene. The methods of surgical intervention depended on the severity of the disease. Only one patient died due to extensive ischemic bowel involvement and subsequent sepsis. Conclusion: It is mandatory to have an index suggestive of ischemic bowel disease in chronic dialysis patients with unexplained abdominal pain or discomfort. Early diagnosis and aggressive surgical intervention is the cure modality for patients with acute ischemic bowel disease. |
本系統中英文摘要資訊取自各篇刊載內容。