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再生障碍性贫血合并非闭塞性肠系膜缺血

Aplastic Anemia With Non-Occlusive Mesenteric Ischemia.

作者信息

Rai Rithvik, Kehinde Abiola

机构信息

Geriatrics and Endocrinology, Hinchingbrooke Hospital, Huntingdon, GBR.

Endocrinology and Diabetes, Hinchingbrooke Hospital, Huntingdon, GBR.

出版信息

Cureus. 2024 Oct 30;16(10):e72727. doi: 10.7759/cureus.72727. eCollection 2024 Oct.

Abstract

This case highlights the multifaceted challenges of managing aplastic anemia, especially when complicated by non-occlusive mesenteric ischemia (NOMI). The patient's clinical course underscores the importance of a conservative, multidisciplinary approach in balancing the risks of invasive procedures with the need for effective diagnostics and treatment. Recognizing the risks associated with pancytopenia, including life-threatening bleeding and infections, is critical in managing such patients. Careful monitoring and timely interventions, particularly in an intensive care setting, are essential to improve outcomes in complex cases like this one.

摘要

本病例凸显了再生障碍性贫血管理所面临的多方面挑战,尤其是在合并非闭塞性肠系膜缺血(NOMI)时。患者的临床病程强调了在平衡侵入性操作风险与有效诊断及治疗需求时采用保守的多学科方法的重要性。认识到全血细胞减少相关的风险,包括危及生命的出血和感染,对于管理此类患者至关重要。仔细监测和及时干预,特别是在重症监护环境中,对于改善像这样的复杂病例的预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/11524600/0eae3c1a605a/cureus-0016-00000072727-i01.jpg

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