以腹泻为主要表现的肠气囊肿症1例

A Case of Pneumatosis Cystoides Intestinalis with Diarrhea as the Main Manifestation

摘要: 1例以腹泻为主要表现的肠气囊肿症(pneumatosis cystoides intestinalis, PCI)患者，患者既往糖尿病20余年，一直在规律服用“阿卡波糖”降糖治疗，完善腹部影像学及内镜检查后明确诊断为肠气囊肿症。采用调整降糖方案、高压氧疗2次/天(共5天)、抑酸保护胃黏膜、调节肠道菌群等支持治疗后患者腹泻、腹痛好转。半年后返院复查肠镜未见异常。肠气囊肿症是临床上一种少见的疾病，其临床表现多样，无特异性，为提高临床医生对本病的认识水平，笔者总结了1例以腹泻为主要表现的肠气囊肿症的诊治经过，现报道如下。

Abstract: A patient with diarrhea as the main manifestation of pneumatosis cystoides intestinalis (PCI), who has had diabetes for more than 20 years, has been taking acarbose as hypoglycemic therapy regularly. She was diagnosed with pneumatosis cystoides intestinalis after abdominal imaging and endoscopic examination. The patient’s diarrhea and abdominal pain were improved after treatment with adjusted hypoglycemic regimen, hyperbaric oxygen therapy twice a day (5 days in total), acid inhibition to protect gastric mucosa, and regulation of intestinal flora. Six months later, she returned to the hospital and rechecked the colonoscopy. Pneumatosis cystoides intestinalis is a rare disease in the clinic, and its clinical manifestations are diverse and non-specific. In order to improve the understanding level of clinicians, the author summarized the diagnosis and treatment of 1 case of pneumatosis cystoides intestinalis with diarrhea as the main manifestation, and reported as follows.