Acute Segmental Obstructing Enteritis in Two Children

孩童急性截段阻塞性腸炎

李銘峻(Ming-Jiunn Lee) ； 張虔熙(Chien-Hsi Chang MD)

《北市醫學雜誌》 1卷4期 (2004/10) Pp. 493-497

https://doi.org/10.6200/TCMJ.2004.1.4.15

摘要

急性截段阻塞性腸炎是一種少見的腸道發炎性疾患，然而在孩童發作起初卻常與需緊急開刀的機械性上消化道阻塞或腹部急症無法分別，而令人困擾。所以即早作正確的診斷，不僅可免除不必要的手術；更可減少患童的痛苦。我們觀察了一些此類的病例，有些與過敏性紫斑有關；有些卻無關，而本篇報告詳述此症的臨床表現及處置，更重要的是提供較為詳盡的資料來使得此疾患的診斷更加完備。

關鍵字

急性截段阻塞性腸炎 ； 吐血 ； 過敏性紫斑

並列摘要

Acute segmental obstructing enteritis (ASOE) is an uncommon inflammatory disorder of childhood that usually mimics mechanical upper intestinal obstruction or an acute abdomen. A number of children with ASDE associated with or without Henoch-Schonlein purpura (HSP) have been observed at our department. The most common complaint is intermittent severe cramping abdominal pain with signs of intestinal obstruction that may be severe and associated with vomiting. Stools may show gross or occult blood and bilious vomiting or hematemesis may also be present. Early diagnosis can prevent unnecessary surgical intervention and reduce morbidity.

並列關鍵字

acute segmental obstructing enteritis (ASOE) ； hematemesis ； Henoch-Schonlein purpura (HSP)