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一例伴有急性出血的胃肠道间质瘤:治疗与护理

A gastrointestinal stromal tumor with acute bleeding: Management and nursing.

作者信息

Shi Xiuju, Yu Shuxia, Wang Fenyan, Zhao Qi, Xu Hongwei, Li Bin

机构信息

Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong University Department of Gastroenterology, Qianfo Mountain Hospital, Jinan, China.

出版信息

Medicine (Baltimore). 2018 Mar;97(9):e9874. doi: 10.1097/MD.0000000000009874.

Abstract

RATIONALE

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors involving the gastrointestinal tract. A small percentage of GISTs may cause acute gastrointestinal bleeding, which requires urgent surgical intervention.

PATIENT CONCERNS

In this case report, we present a 62-year-old male patient with who was hospitalized due to acute bleeding.

DIAGNOSES

The patient was diagnosed as GIST with low risk.

INTERVENTIONS

The patient was treated endoscopically with polidocanol sclerotherapy.

OUTCOMES

The mass was removed completely, and the patient was discharged at day 9 after operation.

LESSONS

This case indicates that GIST can present as massive upper gastrointestinal bleeding and urgent endoscopic sclerotherapy can be life-saving. The endoscopical intervention may be a good alternative for emergency.

摘要

原理

胃肠道间质瘤(GISTs)是最常见的累及胃肠道的间充质肿瘤。一小部分GISTs可能导致急性胃肠道出血,这需要紧急手术干预。

患者情况

在本病例报告中,我们介绍了一名62岁男性患者,他因急性出血入院。

诊断

该患者被诊断为低风险GIST。

干预措施

对该患者进行了聚多卡醇硬化疗法的内镜治疗。

结果

肿块被完全切除,患者术后第9天出院。

经验教训

本病例表明,GIST可表现为大量上消化道出血,紧急内镜硬化疗法可能挽救生命。内镜干预可能是一种很好的紧急替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39ff/5851723/de0ece5c6879/medi-97-e9874-g001.jpg

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