范式转变：炎症性肠病医疗之家对急性重度溃疡性结肠炎门诊管理的影响
Change in paradigm: impact of an IBD medical home on the outpatient management of acute severe ulcerative colitis.
作者信息
Tam Vernissia, Schwartz Marc, Holder-Murray Jennifer, Salgado Pogacnik Javier
机构信息
Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
出版信息
BMJ Case Rep. 2019 Oct 5;12(10):e230491. doi: 10.1136/bcr-2019-230491.
A 72-year-old man presents with acute severe ulcerative colitis (ASUC), initially partially responsive to intravenous steroids and infliximab over a 3-day hospital stay. Following discharge and over the course of 15 days, his care was coordinated by the inflammatory bowel disease medical home team, who conducted clinical laboratory assessments and two outpatient flexible sigmoidoscopies to evaluate endoluminal disease activity and treatment response prior to proceeding with a laparoscopic total abdominal colectomy and creation of end ileostomy following medical failure. He was admitted to the hospital for a total of only 7 days, which included attempted medical management of ASUC, surgery and postoperative recovery.
一名72岁男性患有急性重症溃疡性结肠炎（ASUC），在住院3天期间，最初对静脉注射类固醇和英夫利昔单抗有部分反应。出院后15天内，炎症性肠病医疗团队对其进行护理协调，该团队在进行腹腔镜全腹结肠切除术并在药物治疗失败后造末端回肠造口术之前，进行了临床实验室评估和两次门诊软性乙状结肠镜检查，以评估腔内疾病活动度和治疗反应。他总共仅住院7天，包括对ASUC的药物治疗尝试、手术及术后恢复。
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