艾滋病患者的择期结肠造口关闭术。
Elective colostomy closure in an AIDS patient.
作者信息
Pasquale M D, Kenkel J M, Holt R W
机构信息
Georgetown University Surgery Section, DC General Hospital, Washington 20003.
出版信息
J Natl Med Assoc. 1994 Jun;86(6):469-71.
This article describes a 27-year-old patient with acquired immunodeficiency syndrome (AIDS) who underwent emergency sigmoid colostomy, Hartmann's pouch, and presacral drainage for rectal perforation. Three months later, he underwent uneventful elective colostomy closure, a procedure previously unreported in an AIDS patient. He remained without gastrointestinal symptoms for 14 months after colostomy closure until he died from central nervous system toxoplasmosis. A diagnosis of AIDS alone should not preclude colostomy closure in AIDS patients.
本文描述了一名27岁的获得性免疫缺陷综合征（AIDS）患者，该患者因直肠穿孔接受了急诊乙状结肠造口术、哈特曼袋手术和骶前引流术。三个月后，他顺利接受了择期结肠造口关闭术，这一手术此前在AIDS患者中未见报道。结肠造口关闭术后14个月，他一直没有胃肠道症状，直至死于中枢神经系统弓形虫病。仅AIDS诊断本身不应排除AIDS患者进行结肠造口关闭术。
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