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本文首次报告1例用甘露醇溶液作肠道准备,后作结肠息肉摘除时发生爆炸,导致患者死亡的严重并发症。病者69岁,男性,经钡灌肠检查发现结肠有3个息肉,分别位于乙状结肠及肝曲、盲肠。摘除乙状结肠及肝曲的息肉,病检均为腺瘤,术后无并发症。患者于1978年4月为作盲肠息肉摘除而入院,经两天无渣饮食后,于检查前晚作肠道灌洗,在3小时内灌入等渗的甘露醇溶液5 L(每L含甘露醇40g,氯化钾1g,氯化钠1g),患者耐受良好,排出液不含粪质。以后用165cm长的ACMI TX91型结肠镜检查,术
This article reports for the first time in 1 case of mannitol solution for intestinal preparation, followed by colon polyp removal occurred when the explosion, leading to serious complications of patient death. 69-year-old man, male, barium enema examination found that the colon has three polyps, respectively, in the sigmoid colon and liver song, cecum. Excision of sigmoid colon and liver polyps, disease detection are adenomas, postoperative complications. The patient was admitted to hospital for cecal polyp removal in April 1978. After two days without residue diet, the patient was enterexpanded for the last night of the examination. A 5 L solution of isotonic mannitol (5 L per liter) Mannitol 40g, potassium chloride 1g, sodium chloride 1g), patients were well tolerated, the effluent does not contain fecal material. After using 165cm long ACMI TX91 colonoscopy, surgery