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空肠溃疡——治疗与诊断难题

[Jejunal ulcer--therapeutical and diagnosis difficulties].

作者信息

Palade R, Suliman E, Voiculescu D, Simion G

机构信息

Clinica I Chirurgie, S.U.U.B., România.

出版信息

Chirurgia (Bucur). 2011 Jul-Aug;106(4):513-7.

Abstract

We present a female patient of 70 years, admitted in emergency department for signs of high bowel obstruction. After preoperative intensive care, surgical intervention was performed. A complete stenosis of the bowel lumen was found about 15 cm from the duodenojejunal angle, due to a process of sclerosis. Segmental enterectomy was performed with lateroterminal enteroenteralanastomosys, with poor outcome due to a lung infection, which occurred amid COPD. The patient died in intensive care unit requiring mechanical ventilation postoperative. Jejunal ulcer diagnosis was established after pathological examination. Particular issues in discussion are: etiological, clinical, diagnostic and therapeutic ones, that this rare condition posed in practical care.

摘要

我们介绍一位70岁的女性患者,因高位肠梗阻症状入住急诊科。经过术前重症监护后,进行了手术干预。在距十二指肠空肠角约15厘米处发现肠腔完全狭窄,原因是硬化过程。进行了节段性肠切除术并做了侧端肠肠吻合术,但由于慢性阻塞性肺疾病(COPD)期间发生肺部感染,预后不佳。患者在术后需要机械通气的重症监护病房死亡。病理检查后确诊为空肠溃疡。讨论的特殊问题包括:这种罕见病症在实际护理中引发的病因、临床、诊断和治疗问题。

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