胃结石致肠梗阻误诊解析  

Analysis of Misdiagnosis for Small Bowel Obstruction Due to Gastric Phytobezoars

作　　者：张毅[1] 梁道明[1] 袁勇[1] 赵辉[1] 周东[1] 李思齐[1] 陈嘉勇[1] 

机构地区：[1]昆明医学院第二附属医院急诊科,云南省昆明市650101

出　　处：《临床合理用药杂志》2011年第09X期69-70,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：胃结石是位于胃肠道的异物体,它主要存在于胃内,但可随胃的蠕动挤压排入小肠内引起急性小肠梗阻、绞窄、溃疡和穿孔,手术中得以明确诊断。由于胃结石病的少见,临床表现无特异性,常导致误诊或诊断延误。早期发现和诊断的胃结石可以通过内科治疗、胃镜取石治疗取得很好的疗效;较大结石或复杂的结石则需要积极的手术治疗。早期诊断和治疗可减少并发症的发生。Gastric phytobezoar is extraneous material in the gastrointestinal tract,and it is mainly in the stomach that can move follow with the peristalsis of the stomach into the small intestine causing acute small bowel obstruction,strangulation,ulceration and perforation.All these only can be confirmed by surgery operation.As gastric phytobezoar was rare,and had no specific clinical manifestation often leads to misdiagnosis or delayed diagnosis.Early detection and diagnosis of phytobezoar in the stomach can obtain good therapeutic effect by medical treatment,gastroscope treatment.However,large or complex bezoars require surgical treatment positively.Thus early diagnosis and treatment can reduce complications.

关 键 词：胃结石 肠梗阻 误诊 

分 类 号：R656.7[医药卫生—外科学]