This is comprehensive to advertise for again Wilkie comprehensive advertise for, the bowel fasten a film a top artery comprehensive advertise for, the aorta bowel fasten film artery to oppress comprehensive advertise for with 12 chronic bowels become sluggish a disease.This be seldom seen 1 kind 12 bowel level department with/or the ascension part Geng Zu.The Wilkie collections reports in 19277512 chronic bowel Geng Zu, point out that it is to have a characteristic of comprehensive advertise for, performance for take a meal behind ascend stomachache, Ai spirit, satisfied bulge, often the companion in great quantities vomitted a thing.The symptom goes into action for the cleft, keep on a 1~2 ds, henceforth can alleviate for few week.The chronic course of illness often makes patient’s weight obviously descend with emaciated, have half patients while go into action if the patient take left lie or Fu to lie chest knee can make the symptom get part to alleviate.Call in the past cultural heritage the Wilkie is comprehensive to advertise for.
A, cause of disease
The bowel fastens a film a top the artery sends out the alignment tail side direction from the stomach aorta stomach side, it becomes 45 °s with stomach aorta to open mouth Cape toward the tail side, and 12 bowel level department and ascension department are at the right moment located on this which clips Cape.Here 12 bowels carry side on here 12 bowels’ back for the stomach aorta, its stomach side fastens a film a top artery for the bowel and level department the head side of 12 bowels is a pancreas hook Tu department and left kidney vein, also the fat organize.In order to there is certain quantity fat organization, at erection with lie make the bowel fasten the film top artery and stomach aorta to clip Cape can mutually hold, make 12 bowel level departments be free from bowel to fasten the film top artery and stomach aorta
Oppress, keep a bowel tube unimpeded, if clip the Cape as 6~25 °s, then Wilkie happen comprehensive advertise for.In addition, Treitz ligaments’ rise is 10 Zhui body horizontal Ges at the chest and finally 12 bowel ascension department and jejunum hand over boundary.The Treitz ligaments is smooth muscle fiber and knot Di organization composing, its length is different, such as Treitz ligaments shorter, the 12 bowel ascension department then up lifts, the level department takes seat to fasten the film top artery and stomach aorta to clip Cape deeper place at the bowel, then also easily artery oppression and Geng Zu happen, particularly at Yang even lie or erection.Past 12 bowels clip in the aorta and the bowel to fasten a film a top of the artery distance normal is 10~20 mms, at Wilkie comprehensive advertise for reduce to 2~8 mms.
Take place Wilkie comprehensive advertise for current belong to normal anatomy character reason, again the sick reasonableness induct factor existence and induct factor concentration to fasten a film a top artery to clip Cape to diminish in the aorta bowel or both it the distance shorten aspect, such as the weight excessively descends disease:Bowel way after absorb badly, the big rea the burn expect and take place wound, spinal column bone fracture more excessively stretch to reset fix, pancreatitis and stomach aorta lump.Most make what person baffle be a mental illness to is disgusted with cause a food to vomit, can also cause height emaciated with the weight descend, 12 bowel oppressions happen, if has no explicit catatonia diagnosis and treatment, even surgical operation the treatment can’t get treatment effect, either.
Two, diagnose
The weight descends in the history of disease with emaciated existence even outstanding, and 80% cases is thin long type of figure.The clinical last Wilkie is comprehensive to advertise for have another is chronic, but have second impatient or impatient go into action.BE go into action to expect to swallow a barium check it is thus clear that 12 bowels decline department and level department to extend Geng Zu, doing not go into action to expect to swallow a barium check may without hard conclusion, but use a low piece 12 bowels to build shadow Shu to have assurance result more.The Fu lies chest knee in the meantime to the abdomen department a side toward the head with carry on the back a side to add to press(Hayes skill) to all help the Geng Zu to alleviate, make the barium pass.The stomach mirror check can’t make this diagnosis, but often discover that the stomach Dou is burning, digest ulcerate.(have 25% ～s 45%)The CT can observe the stomach aorta and the bowel to fasten top in the film artery to clip a Cape fat organization to contract, its distance can measure, and the companion have already declined department and level department 12 bowels to extend.Super voice check or artery build a shadow side a slice at the third waist Zhui Zhui body level can show that aorta and bowel fasten the film top clip of artery Cape measurement.In addition to diagnosing 12 bowel existence machine quality to become sluggish, still need to expel mental illness to cause of be disgusted with a food to vomit to descend existence with weight obviously.Have explicit inducement occurrence Wilkie comprehensive advertise for, such as stomach aorta lump, spinal column bone fracture excessively stretch to reset fix, big rea burn the convalescent period severity emaciated etc., should take into certain, mainly aim at a such kind of inducement because of the treatment.
Three, cure
Some Wilkies are comprehensive to advertise for a case and may be go into action to alleviate to expect the Pou stomach have already fished for Shu, only discover 12 bowels are slightly fatty and thick to extend an outside and probably get “feminine gender” conclusion.Wilkie comprehensive advertise for when the impatient or second impatient hair obstruct Zu, is first to use the non- surgical operation conservative treatment in principle, the stomach tube decompression and liquid electrolyte disequalibrium rectify and particularly have an explicit inducement, the non- surgical operation is conservative to cure a purpose is make the weight rise with the malnutrition can rectify.Nourishment support beginning should use TPN, then use nourishment inside the bowel after the Geng Zu alleviate, through nose detain nourishment pipe inside the appropriation bowel, be pipe to take chest knee Fu to lie after get into 12 bowels, make the spiral form pipe top get into jejunum through 12 bowel level departments.Then lose the liquid at use to pump 24 hours lose to note a nourishment liquid in a row.Wilkie comprehensive advertise for if cause for the mental illness of be disgusted with a food to vomit with emaciated, need more long-playing to observe future reunion to diagnose, give in the meantime suitable medicine treatment and non- surgical operation be conservative treatment.
If the Wilkie is comprehensive to advertise for to have several years course of illness for the chronic, the non- surgical operation treatment can’t attain weight ascension and Geng Zu to alleviate, end just consider a surgical operation treatment.The surgical operation orientation certificate is:The ① conservative treatment fail;The ② long-term chronic disease history can’t take a meal, emaciated, and 12 bowels extend obviously;The ③ merger includes the digest the ulcer.The surgical operation method fits together Shu for the jejunum 12 bowels.Only leave to break Treitz ligaments in the child case, and visit to leave 12 bowel level department and ascension department, have already reported to get better effect, but 12 bowel jejunums’ fitting together Shu in brief can go, effect credibility.Decade to have already had the bottom of the belly cavity mirror to implement 12 bowel jejunums to fit together a Shu report, obviously the wound be small with instauration more and quickly for its advantage
May 07
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