结肠镜检查引起的中度脏损伤
Kana Ayaki1, Masaaki Higashiyama1, Takuma Oguro1
1Department of Internal Medicine, National Defense Medical College, Japan.
Internal medicine (Tokyo, Japan)
|June 14, 2023
概括
结肠镜检查后产生的脏损伤 (SI) 很少见,但可能致命. 本案例报告强调了潜在的风险因素,并强调了仔细的患者评估和温和的范围处理,以防止这种严重的不良事件.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 原性损伤 (SI) 是经过结肠镜检查后的一种罕见但可能致命的并发症.
- 出血是与SI相关的一个重大问题.
研究的目的:
- 在结肠镜检查后报告一种iatrogenic损伤 (SI) 的情况.
- 在结肠镜检查期间确定潜在的SI风险因素和预防措施.
主要方法:
- 一个在结肠镜检查后出现SI的患者的病例报告.
- 为了患者的康复,采用了保守的治疗方法.
主要成果:
- 患者从阳性性脏损伤中得到了保守的恢复.
- 左侧水缩和使用最大硬化结肠镜被怀疑是危险因素.
结论:
- 内镜医生应考虑在结肠镜检查后患有左侧腹痛的患者中使用SI.
- 彻底的病史审查和温和的操纵,特别是在脏曲周围,对于预防至关重要.
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