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[痔结扎术的致命并发症]

[Fatal complication of haemorrhoidal banding].

作者信息

Poulsen Jacob, Vejlby Alexandra, Lind Morten

机构信息

Gastroenheden, Hvidovre Hospital, Kettegård Allé 30, 2650 Hvidovre.

出版信息

Ugeskr Laeger. 2014 Dec 15;176(25A).

Abstract

Rubber band ligation (RBL) is a common procedure for treating haemorrhoids. We present a case of a previously healthy young man admitted with symptoms of pain, urinary difficulties and perineal oedema seven days after having had a RBL. The initial examination was unremarkable and the patient was discharged. Twelve hours later he was readmitted due to continued pain, but despite surgery and aggressive intensive treatment the patient deteriorated rapidly and eventually succumbed to fulminant pelvic sepsis. Sepsis is a rare but severe complication after haemorrhoid treatment.

摘要

橡皮圈套扎术(RBL)是治疗痔疮的一种常见手术。我们报告一例病例,一名此前健康的年轻男性在接受RBL术后七天,因疼痛、排尿困难和会阴水肿症状入院。初步检查无异常,患者出院。十二小时后,他因持续疼痛再次入院,但尽管接受了手术和积极的强化治疗,患者病情迅速恶化,最终死于暴发性盆腔脓毒症。脓毒症是痔疮治疗后一种罕见但严重的并发症。

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