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目的分析慢性肾功能衰竭(CRF)并发假性肠梗阻(IPO)患者的临床特征,以引起临床医师重视。方法回顾性分析我院近3年来CRF合并IPO患者7例,收集整理其临床资料及有关实验室检查,分析其发病情况、辅助检查、病程、治疗及预后等特点。结果所有患者均有高血压、心脏增大、贫血、酸中毒等CRF多系统症状,合并心力衰竭3例;其IPO临床表现多不典型,但均有腹胀症状,可以是其惟一症状;病程1~7 d,平均3.4 d,6例好转出院,1例因并发肺部感染死亡。结论IPO是CRF的一种少见的消化道并发症,腹胀可能是其惟一症状,对CRF出现腹胀患者,及时腹部平片检查,有利于早期发现IPO,早期诊断与治疗有助于改善预后。
Objective To analyze the clinical features of patients with chronic renal failure (CRF) complicated with pseudo-intestinal obstruction (IPO) to arouse the attention of clinicians. Methods A retrospective analysis of 7 cases of CRF with IPO in the past 3 years in our hospital was collected. The clinical data and relevant laboratory tests were collected and analyzed. The incidence, auxiliary examination, course of disease, treatment and prognosis were analyzed. Results All the patients had multiple system symptoms of CRF such as hypertension, cardiac enlargement, anemia and acidosis, with heart failure in 3 cases. The clinical manifestations of IPO were atypical but all had bloating symptoms, which could be the only symptom of them. The course of disease was 1 ~ 7 d, an average of 3.4 d, 6 patients were discharged and 1 patient died of pulmonary infection. Conclusion IPO is a rare gastrointestinal complication of CRF. Bloating may be the only symptom of it. As for patients with bloated CRF, timely examination of abdominal plain film is helpful for the early detection of IPO. Early diagnosis and treatment may help to improve prognosis.