胃壁脓肿1例并文献复习

doi:10.3969/j.issn.1004-583X.2016.02.017

临床荟萃 ›› 2016, Vol. 31 ›› Issue (2): 204-206.doi: 10.3969/j.issn.1004-583X.2016.02.017

胃壁脓肿1例并文献复习

张岩,邹百仓,鲁晓岚,张莉,郭芸蕾

西安交通大学第二附属医院消化内科,陕西西安 710004

收稿日期:2015-11-19 出版日期:2016-02-05 发布日期:2016-04-18
通讯作者: 邹百仓,Email:zoubaicang@sohu.com

A case report of stomach abscess and literature review

Zhang Yan, Zou Baicang, Lu Xiaolan, Zhang Li, Guo Yunlei

Department of Gastroenterology, the Second Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710004, China

Received:2015-11-19 Online:2016-02-05 Published:2016-04-18
Contact: Zou Baicang, Email: zoubaicang@sohu.com

摘要/Abstract

摘要： 目的分析胃壁脓肿文献并汇报病例,总结其病因、临床表现、诊断及治疗规律。方法查阅中国期刊全文数据库、维普中国科技期刊数据库、万方数字化期刊数据库在2015年8月之前公开发表的关于胃壁脓肿的病例,统计国内报道病例22例及本例,分析患者一般情况、发病原因、临床表现、诊断方法,治疗及预后。结果男性发病率较高(13/22);主要症状为上腹痛、寒战发热、腹部包块;常见病因为感染、异物损伤胃壁、胃部手术;确诊方法为胃镜及超声内镜、CT、剖腹探查;抗感染对症及外科手术治疗,治愈20例,死亡2例。结论胃壁脓肿比较罕见,尽早诊断明确,内科治疗可痊愈,避免严重并发症及外科手术的风险。

关键词: 脓肿, 胃, 感染

Abstract: Objective To analyze the stomach abscess and summarize its etiology, clinical manifestation, diagnosis and treatment.Methods The cases of stomach abscess were searched from Chinese Journals Full-text Database, VIP Chinese Science and Technology Periodical Database and Wanfang Digital Peridical database published before August 2015, a total of 22 patients were reported in domestic, the general situation, etiology, clinical manifestation, diagnostic methods, treatment and prognosis were analysed.Results The incidence was higher in male (13/22); main symptoms included abdominal pain, chills, fever and abdominal mass; common cause included infection, stomach injury because of foreign matter and stomach surgery; diagnostic methods included gastroscope and endoscopic ultrasonography, CT and exploratory laparotomy; treatments included anti-infection symptomatic treatment and surgical treatment; twenty patients were cured and two patients died.Conclusion Stomach abscess is rare and can be cured by early diagnosis and medical treatment to obviate the risk of serious complications and surgery.

Key words: abscess, stomach, infection

中图分类号:

R632.5

张岩,邹百仓,鲁晓岚,张莉,郭芸蕾. 胃壁脓肿1例并文献复习[J]. 临床荟萃, 2016, 31(2): 204-206.

Zhang Yan, Zou Baicang, Lu Xiaolan, Zhang Li, Guo Yunlei. A case report of stomach abscess and literature review[J]. Clinical Focus, 2016, 31(2): 204-206.

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https://huicui.hebmu.edu.cn/CN/Y2016/V31/I2/204

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胃壁脓肿1例并文献复习

A case report of stomach abscess and literature review

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