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镰状细胞病的胃肠道血管阻塞性危机

Gastrointestinal vaso-occlusive crisis in sickle cell disease.

作者信息

Gautam Garima, Harmon Robert, Foley Raymond

机构信息

Department of Internal Medicine, University of Connecticut, UConn Health, Farmington, Connecticut.

出版信息

Proc (Bayl Univ Med Cent). 2022 Aug 15;35(6):856-857. doi: 10.1080/08998280.2022.2108995. eCollection 2022.

DOI:10.1080/08998280.2022.2108995
PMID:36304615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9586610/
Abstract

Although rare, gastrointestinal vaso-occlusive crisis in sickle cell disease results in potentially life-threatening ischemia and death. Here we present a case of a 34-year-old patient with sickle cell disease who developed an acute pain crisis complicated by hypovolemia, hypoxia, and hypotension. The patient was treated with supportive measures. Diagnosis can be challenging and difficult to differentiate from usual pain crisis.

摘要

尽管罕见,但镰状细胞病中的胃肠道血管闭塞危机会导致潜在的危及生命的缺血和死亡。在此,我们报告一例34岁的镰状细胞病患者,该患者发生了急性疼痛危机,并伴有低血容量、缺氧和低血压。患者接受了支持性治疗。诊断可能具有挑战性,且难以与常见的疼痛危机相区分。

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本文引用的文献

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Ischemic Colitis in Sickle Cell Disease: A Case Report of a Diagnostic Challenge.镰状细胞病中的缺血性结肠炎:一例诊断难题的病例报告
Case Rep Gastrointest Med. 2018 Jan 24;2018:2358091. doi: 10.1155/2018/2358091. eCollection 2018.
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CT of Gastrointestinal Vasoocclusive Crisis Complicating Sickle Cell Disease.CT 诊断胃肠道血管阻塞性危象并发镰状细胞病
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