重视腰椎外伤手术患者的胃肠道症状
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刘改芳, 吴 婧, 孟 霞, 赵丽伟
腰椎外伤;伪膜性肠炎;腹腔间隔室综合征,刘改芳,吴婧,孟霞,赵丽伟,通讯作者:,Gastrointestinalsymptomsafterlumbarinjuryandoperation,Gai-FangLiu,JingWu,XiaMeng,Li-WeiZhao
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刘改芳, 吴婧, 孟霞, 赵丽伟, 河北医科大学第三医院消化科 河北省石家庄市 050051
刘改芳, 主任医师, 主要从事消化系疾病和消化内镜诊治, 研究领域是幽门螺杆菌基础与临床.
通讯作者: 刘改芳, 050051, 河北省石家庄市自强路139号, 河北医科大学第三医院消化科. liugaifang@medmail.com.cn
电话: 0311-87891965
收稿日期: 2007-07-13 修回日期: 2007-10-19
Gastrointestinal symptoms after lumbar injury and operation
Gai-Fang Liu, Jing Wu, Xia Meng, Li-Wei Zhao
Gai-Fang Liu, Jing Wu, Xia Meng, Li-Wei Zhao, Department of Gastroenterology, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei Province, China
Correspondence to: Gai-Fang Liu, Department of Gastroenterology, the Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang 050051, Hebei Province, China. liugaifang@medmail.com.cn
Received: 2007-07-13 Revised: 2007-10-19
Abstract
Lumbar injury and operation can lead to different stomach intestine functional disturbances and severe conditions can lead to enteroparalysis and peritonitis owing to retroperitoneal hematoma and stimulation of the coeliac plexus, causing severe abdominal distention, abdominal pain and an inability to take food. These are the main factors associated with antibiotic-associated diarrhea and severe pseudomembranous colitis owing to the use of antibiotics. The reasons for death are generally due to osteopathic incognizanting pseudomembranous colitis and the doctors of gastrointestinal departments for not recognizing or treating in a timely manner intra-abdominal hypertension leading to pseudomembranous colitis, which is the best period to save a patient. Abdominal compartment syndrome is also a reason. Therefore, attention should be paid to early gastrointestinal symptoms after lumbar injury and operation, specifically, antibiotic-associated diarrhea and severe pseudomembranous colitis, to effectively treat intra-abdominal hypertension, prevent abdominal compartment syndrome and reduce mortality.
Key Words: Lumbar injury; Pseudomdembranous colitis; Abdominal compartment syndrome ......
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