如果那个胃下垂的孩子同时还有胃轻瘫(gastroparesis),可能Domperidone会有效

来源: 吃与活 2015-05-24 12:22:33 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 次 (1463 bytes)
根据是这个案例

Gastroparesis associated with gastroptosis presenting as a lower abdominal bulking mass in a child: a case report.

胃下垂的治疗还是手术(少数案例),加上中药和针灸。

案例少,如果不做钡餐,很容易误诊。

In the beginning of 19th century the preferred treatment was surgical [13-15]. In 1894, Duret first reported surgical treatment of gastroptosis in a patient in Lille. Nowadays surgical treatment is still an alternative approach in the treatment of gastroptosis although most authors suggest that should be limited to selected cases [7,16].
 
Other therapeutic modalities that have been proposed for the treatment of this entity with acceptable results and safety include acupuncture and herbal treatment [17].

Gastroparesis and gastroptosis can be easily misdiagnosed due to their rarity. In our case the patient was treated for gastritis for two years, without having examined by barium studies.

所有跟帖: 

不是医生的俺,靠看文献提出一种治疗方向,供医生们批评 -吃与活- 给 吃与活 发送悄悄话 吃与活 的博客首页 (1499 bytes) () 05/24/2015 postreply 12:36:36

川兄曰:个案也是案 -吃与活- 给 吃与活 发送悄悄话 吃与活 的博客首页 (0 bytes) () 05/24/2015 postreply 12:43:46

再延伸1下:每个病人也都是1个单独的个案,因为,被命名的同1种病,会发生在不同者身上,而每1个地球人都是独特的。 -大江川- 给 大江川 发送悄悄话 大江川 的博客首页 (0 bytes) () 05/24/2015 postreply 12:49:12

每1个地球人,都是独1无2的。因为,在地球上,你找不到两片相同的树叶。 -大江川- 给 大江川 发送悄悄话 大江川 的博客首页 (0 bytes) () 05/24/2015 postreply 12:51:39

没想到是随便买的药啊,可能真不是个案 -吃与活- 给 吃与活 发送悄悄话 吃与活 的博客首页 (2281 bytes) () 05/24/2015 postreply 12:54:39

群案与个案,是阴阳。而不同个案间的微小差,可能决定其微小的应对差,微小的应对差之检测,就是细节,对救治而言,细节 -大江川- 给 大江川 发送悄悄话 大江川 的博客首页 (54 bytes) () 05/24/2015 postreply 13:01:20

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