碳酸氢钠治疗植物性胃石症一例并文献复习  

The Therapy of Dissolution Using Carbonated Liquid for Bezoars:A Case Report and Clinical Review

作　　者：季燕 陈雪 丁静 JI Yan;CHEN xue;DING jing(Rehabilitation hospital affiliated to capital medical university,Beijing 100038,China)

机构地区：[1]首都医科大学附属复兴医院,首都医科大学全科医学与继续教育学院月坛社区教研室,北京市100038

出　　处：《中国全科医学》2017年第B12期203-206,共4页Chinese General Practice

基　　金：北京市卫生系统高层次卫生技术人才培养计划(2014-3-102)

摘　　要：目的提高对植物性胃石症的认识。方法结合首都医科大学附属复兴医院1例碳酸氢钠治疗植物性胃石症病例的诊治经过,并进行文献复习。对万方数据库和PubMed数据库进行检索,检索时间至2010年,共23篇文献入选,碳酸氢钠或碳酸饮料治疗植物性胃石794例。对碳酸氢钠联或碳酸饮料治疗胃石症的疗效进行评价。结果本例患者经碳酸氢钠治疗后胃石消失。文献中794例患者治疗成功率92.4%。结论碳酸氢钠或碳酸饮料治疗植物性胃石效果显著,联合电子胃镜治疗效果更佳,联合治疗在缩短治疗时间的同时减少了碎石次数,适合临床推广应用。Objective To improve the understanding of bezoars.Methods This article told a case of dissolution using carbonated liquid for bezoars in Capital University of Medical Sciences and related literature reviews.The database was searched among a total of 23 papers from 2010 to 2017.794 cases were treated with carbonated liquid or coca-cola.Effects of the treatment were evaluated.Results The bezoars were disappeared and about 92.4%cases were successfully cured.Conclusion The effect of the therapy of dissolution by carbonated liquid for Bezoars is remarkable.The combination therapy with endoscopic treatment is better.It reduces the number of endoscopic fragmentation and shortens the treatment time.It is suitable for clinical application.

关 键 词：植物性胃石症 碳酸氢钠 电子胃镜 文献复习 

分 类 号：R573.8[医药卫生—消化系统]