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由创伤后介质血瘤引起的儿科十二指甲管狭窄症通过双重初级饮食管管理
Hirotaka Shibuya1, Keita Sato1, Natsuki Hashiba1
1Department of Surgery, Ise Red Cross Hospital, Ise, Mie, Japan.
Trauma case reports
|July 1, 2024
概括
一个双重初级饮食管有效地治疗了一名患有创伤后十二指肠狭窄症的儿科患者. 这种内镜方法缓解了症状,并改善了腹部创伤后的肠道状况.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 创伤管理 创伤管理
背景情况:
- 腹部创伤可以导致儿童严重的胃肠道并发症.
- 创伤后十二指肠狭窄是一种罕见但重要的后果,需要及时干预.
研究的目的:
- 评估双重基本饮食管在治疗儿科创伤后十二指肠狭窄症中的有效性.
- 描述一个复杂的案例的管理,即导致狭窄的头骨间膜性血瘤.
- 为了突出小儿肠道并发症的最小侵入性内镜方法.
主要方法:
- 一名6岁的男孩患有腹部创伤和腹半肠血瘤,接受了上部内镜检查.
- 一个双重的基本饮食管被内镜插入到十二指甲管狭窄之外.
- 管方便了减压和营养支持,绕过了阻塞的部分.
主要成果:
- 计算机断层扫描揭示了状介质血瘤,导致肠壁压缩和狭窄.
- 患者在受伤后10天经历了吐,这表明了阻塞.
- 双重基本饮食管的内镜放置导致狭窄症的改善和症状的消失.
- 患者在受伤后的第27天被送出院,病情改善.
结论:
- 双重基本饮食管是儿科患者创伤后十二指甲管狭窄症的有效治疗方法.
- 内镜管理为复杂的儿科肠道损伤提供了可行的替代方案.
- 这种方法可以防止需要更具侵入性的外科手术程序.
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