中西医治疗肠气囊肿1例报告  

Treatment of pneumatosis cystoids intestinalis aerocele with traditional Chinese and Western medicine:a case report

作　　者：沈垚村 黄灿 刘深梵 祝捷 刘豫玥[2] 王志斌[3] SHEN Yaocun;HUANG Can;LIU Shenfan;ZHU Jie;LIU Yuyue;WANG Zhibin(Second Clinical Medical College Beijing University of Chinese Medicine,Beijing 100029,China;Department of Pathology,Dongfang Hospital Beijing University of Chinese Medicine,Beijing 100078,China;Department of Spleen,Stomach and Hepatobiliary,Dongfang Hospital Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学第二临床医学院,北京100029 [2]北京中医药大学东方医院病理科,北京100078 [3]北京中医药大学东方医院脾胃肝胆科,北京100078

出　　处：《中国医药导报》2023年第21期179-182,共4页China Medical Herald

基　　金：国家重点研发计划项目(2017YFC17001040)。

摘　　要：肠气囊肿症是指在消化道黏膜下或浆膜下出现的气体囊肿,发病率低,容易误诊。本文通过描述1例肠气囊肿症患者,以持续腹胀为主要症状,入院后完善结肠内镜、超声内镜、病理及CT检查,明确诊断为肠气囊肿症。通过住院期间中西医结合治疗及出院后中药口服治疗,临床症状消失,肠镜复查无异常,总体疗效良好。肠气囊肿症较为罕见,易与肠结核、肠息肉、炎症性肠炎、肠道肿瘤等疾病相混淆,处理不当可出现气腹、肠梗阻、肠缺血等严重并发症。本病例诊疗经过详实,病理结果清晰,中西医结合治疗效果甚佳,可供临床提供参考。Pneumatosis cystoides intestinalis are gas cysts occurring in the submucosa or subserous membrane of the digestive tract,with low incidence and easy misdiagnosis.This paper describes a case of pneumatosis cystoides intestinalis with persistent abdominal distension as the main symptom.After admission,colon endoscopy,endoscopic ultrasound,pathology,and CT examination were completed to confirm the diagnosis of pneumatosis cystoides intestinalis.After the treatment of integrated Chinese and Western medicine during hospitalization and oral treatment of traditional Chinese medicine after discharge,the clinical symptoms disappeared and there was no abnormality in colonoscopy review,and the overall effect was good.Pneumatosis cystoides intestinalis is a rare disease,easily confused with intestinal tuberculosis,intestinal polyps,inflammatory enteritis,intestinal tumors,and other diseases,improper treatment can lead to pneumoperitoneum,intestinal obstruction,intestinal ischemia,and other serious complications.The diagnosis and treatment of this case is detailed,the pathological results are clear,and the treatment effect of integrated Chinese and western medicine is very good,which can provide clinical reference.

关 键 词：肠气囊肿症 内镜 α葡萄糖苷酶抑制剂 病例报告 

分 类 号：R574[医药卫生—消化系统]