CAJ | 학술논문

目的：探讨输尿管结石体外震波碎石术后合并急性肠梗阻的临床特点及分析可能病因。方法回顾性分析2012-10～2013-11间天津市南开医院内科急诊治疗的20例输尿管结石体外震波碎石术后合并急性肠梗阻患者的一般资料、临床表现、实验室及影像学检查、治疗及结果。结果20例患者经灌肠、胃肠减压、抗炎、补液及我院制剂大承气冲剂颗粒（组方为芒硝、大黄、枳实、厚朴）治疗后，18例患者在6 d之内肠梗阻症状消失，2例老年患者收入院治疗。结论输尿管结石体外震波碎石术后可合并急性肠梗阻，要引起术者重视。
목적：탐토수뇨관결석체외진파쇄석술후합병급성장경조적림상특점급분석가능병인。방법회고성분석2012-10～2013-11간천진시남개의원내과급진치료적20례수뇨관결석체외진파쇄석술후합병급성장경조환자적일반자료、림상표현、실험실급영상학검사、치료급결과。결과20례환자경관장、위장감압、항염、보액급아원제제대승기충제과립（조방위망초、대황、지실、후박）치료후，18례환자재6 d지내장경조증상소실，2례노년환자수입원치료。결론수뇨관결석체외진파쇄석술후가합병급성장경조，요인기술자중시。
Objective To investigate the clinical characteristics of acute intestinal obstruction combined with the ureteral calculi after extracorporeal shock wave lithotripsy and analyze causes.Methods Retrospectively analyzing the general information , clinical manifestation, laboratory and imaging examination , treatment and outcome of 20 cases with ureteral calculi after extracorporeal shock wave lithotripsy combined with acute intestinal obstruction from Oct .2012 to Nov.2013 in Tianjin Nankai Hospital.Results 20 patients were treated with enema , gastrointestinal decompression , anti -inflammatory , rehydration and dachengqi granula in the hospital preparations (formula for glauber′s salt, rhubarb, acid-insoluble ash, Magnolia cortex), 18 cases with intestinal obstruction symptoms disappeared in 6 days, and 2 elderly patients were treated in the hospital.Conclusion Ureteral calculi after extracorporeal shock wave lithotripsy can be combined with acute intestinal obstruction , and the operators should pay attention to it.