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目的 探讨胃 -肠瘘引起腹泻的临床特点。方法 从 1988年 1月～ 1998年 12月我院消化内科住院患者 2 885例中筛选出以腹泻为主要临床表现的所有病例 ,其中胃 -肠瘘为病因的 5例 ,总结分析其各方面的临床资料。结果 5例患者均有毕 II式胃大部切除术病史 ,腹泻特点均为吸收不良性腹泻表现 ,予去麦胶饮食及抗感染治疗 ,疗效欠佳。就诊时均有明显的低蛋白血症。均能通过消化道钡餐造影明确诊断 ,胃镜诊断率仅 40 %。二次手术治疗 ,症状均得到缓解。结论 在诊治腹泻患者 ,特别是有胃大部切除病史的患者时 ,要考虑到胃 -肠瘘的可能
Objective To investigate the clinical features of gastrointestinal fistula-induced diarrhea. Methods From January 1988 to December 1998, 2885 inpatients with digestive diseases in our hospital were screened out for all cases with diarrhea as the main clinical manifestations. Gastrointestinal fistula was the etiological factor in 5 cases, and its various aspects clinical information. Results All the 5 patients had a complete history of complete subtotal gastrectomy. The diarrhea was characterized by malabsorption of diarrhea. Obvious hypoalbuminemia during the visit. Barium meal through the digestive tract can be a clear diagnosis, endoscopy diagnosis rate of only 40%. Secondary surgery, the symptoms were eased. Conclusion In the diagnosis and treatment of diarrhea patients, especially patients with a history of partial mastectomy, we should consider the possibility of gastrointestinal fistula