gastrointestinal hair bezoars cause clogging one cases of small bowel obstruction（胃肠道头发袋变大到能噎死引起堵塞1例小肠阻塞）.docVIP

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gastrointestinal hair bezoars cause clogging one cases of small bowel obstruction（胃肠道头发袋变大到能噎死引起堵塞1例小肠阻塞）.doc

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gastrointestinal hair bezoars cause clogging one cases of small bowel obstruction（胃肠道头发袋变大到能噎死引起堵塞1例小肠阻塞）

Gastrointestinal hair bezoars cause clogging one cases of small bowel obstruction [Keywords] hair bezoar, bowel obstruction, gastrointestinal, case report Case Information Female patient, 85 years old, into our department because of upper abdominal pain 13 d “paroxysmal 13 d prior to the entry Branch no obvious incentive paroxysmal upper abdominal pain, each abdominal pain lasted about tens of minutes, sometimes accompanied by nausea , vomiting, vomit stomach contents, chills, fever, diarrhea and other symptoms in into our department before 6 d acute gastritis into Division One of my hospital, I anti-infective, acid suppression, rehydration therapy, symptom-free remission and significant bloating, check blood WBC 9.8 x 10.9 / L, N 73.2%, abdomen orthostatic films showed small bowel pneumatosis dilated, no significant gas-liquid surface, considering ileus may, then transferred to our department examination: T 36.8 ℃, the spirit of poor pain Maung, passive supine abdominal distension, Cullen obviously, no the gastrointestinal peristalsis spread intestinal type, whole abdominal tenderness (- (+ -, abdomen, rebound tenderness slightly tense muscle, palpable mass, shifting dullness (-, percussion drum sounds, bowel sounds, 6 to 8 times / min, no smell and the air over the water, metallic sound. initial diagnosis: simple incomplete small intestinal obstruction (adhesions? given fasting, decompression, gastric tube antisecretory, antispasmodic, paraffin oil injection and rehydration treatment, symptoms eased significantly six days into our department treatment of abdominal pain, bloating recurrence of symptoms exacerbated, and Cullen bias appears to the right tenderness, rebound tenderness. reexamination KUB shows small bowel pneumatosis, expansion significantly worse than before, and shows multiple liquid level. improve the preoperative preparation of emergency in the whole general anesthesia, laparotomy, intraoperative see ileum intestine has a size of about 6 cm