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首页 > 医学词汇大全 > Intestinal Obstruction
Intestinal Obstruction

消化

关键词消化 疾病 急腹症

词汇介绍

拓展阅读

解析

intestinal 英 [ˌɪntes'taɪnl] 美 [ɪnˈtɛstənəl]

释义   adj. 肠的

例句   If you have appendicitis, or any other inflamed intestinal disease.

如果你患有阑尾炎或其他肠道疾病。

 

obstruction 英 [əbˈstrʌkʃn] 美 [əbˈstrʌkʃən, ɑb-]

释义   n. 障碍;阻碍;妨碍

例句   The curve for normal lung function shows no sign of obstruction.

而正常肺功能的曲线,没有显示阻塞的迹象。

概述

任何原因引起肠内容物通过障碍,并有腹胀、腹痛等临床表现时,统称肠梗阻(intestinal obstruction),是外科常见急腹症之一。肠梗阻的病因和类型很多,发病后不但在肠管形态上和功能上发生改变,并可导致一系列全身性病理改变,严重时可危及病人的生命。 病因与分类1、按梗阻发生的原因分类(1)机械性肠梗阻:是临床上最多见的类型。常见的原因包括:①肠外因素;②肠壁因素;(2)动力性肠梗阻:其又分为麻痹性与痉挛性两类;(3)血运性肠梗阻;(4)原因不明的假性肠梗阻。2、按肠壁血运

Distal intestinal obstruction syndrome: an important differential diagnosis for abdominal pain in patients with cystic fibrosis复制标题

远端肠梗阻综合征: 囊性纤维化患者鉴别诊断疾病的重要腹痛

发表时间:2019-07-30

影响因子:1.6

作者: Amy Hort

期刊:ANZ Journal of Surgery

As life expectancy for those with cystic fibrosis (CF) now exceeds 40 years of age, adult hospitals away from specialized CF services are being exposed more frequently to people with acute complications of CF. Well-known manifestations of CF include pulmonary disease and pancreatic insufficiency with malabsorption. However, a less well-known entity is distal intestinal obstruction syndrome (DIOS), which is an important cause of obstructive symptoms in people with CF that must be differentiated from other causes of bowel obstruction. However, one confounding factor is that adults with CF may have elements of both DIOS and mechanical bowel obstruction due to adhesions from previous operations. A recent tragic outcome in a young adult with CF highlights the need for all doctors, both junior and senior, especially those who are not directly involved in day-to-day CF care, to understand the features of DIOS and the appropriate management, which differs from that of a mechanical bowel obstruction. This review aims to highlight the clinical and pathophysiological features of DIOS, differentiate it from other causes of bowel obstruction and contrast management strategies. Improved knowledge of DIOS will help to facilitate appropriate recognition and permit optimal, multidisciplinary management of this CF complication.

译文

由于囊性纤维化(CF)患者的预期寿命现已超过40岁,因此远离专业CF服务的成人医院更频繁地暴露于CF急性并发症患者。众所周知的CF表现包括肺病和胰腺功能不全伴吸收不良。然而,一个鲜为人知的实体是远端肠梗阻综合征(DIOS),这是CF患者阻塞性症状的重要原因,必须与其他肠梗阻原因区别开来。然而,一个混淆因素是患有CF的成人可能由于先前手术的粘连而具有DIOS和机械性肠梗阻的元素。最近一位患有CF的年轻成年人的悲惨结局强调了所有医生,包括初级和高级医生,特别是那些没有直接参与日常CF护理的医生,需要了解DIOS的特点和适当的管理,不同于机械性肠梗阻。本综述旨在突出DIOS的临床和病理生理学特征,将其与其他肠梗阻原因和对比剂管理策略区分开来。改进DIOS知识将有助于促进适当的识别,并允许对这种CF并发症进行最佳的多学科管理。