脊髓损伤并发症 脊髓损伤患者的并发症 "传统"结肠静脉切除:一个案例系列
Luca Negosanti1, Mimosa Balloni2, Siriana Landi2
1Montecatone Rehabilitation Institue, Imola, Italy. Luca.negosanti@montecatone.com.
Spinal cord series and cases
|July 12, 2024
概括
脊髓损伤/疾病 (SCI/D) 患者的传统结肠切除可以导致严重的便秘和并发症. 量身定制的方法对于有效的口腔管道管理和预防SCI/D个体的不良结果至关重要.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 神经性肠道功能障碍是什么
- 脊髓损伤管理 脊髓损伤管理
背景情况:
- 神经性肠道功能障碍是脊髓损伤/疾病 (SCI/D) 的常见并发症.
- 当神经性肠道功能障碍的保守治疗失败时,通常会考虑结肠术.
- 几名SCI/D患者出现了多种并发症.
研究的目的:
- 评估与SCI/D患者传统结肠直肠术技术相关的并发症.
- 突出需要针对SCI/D个体进行定制的肠道管理策略.
主要方法:
- 回顾四名SCI/D患者的病例系列,他们接受了哈特曼结肠直肠手术的治疗.
- 患者接受了压力治疗,并评估了肠道功能.
- 腹部放射被用于评估便秘,并管理了像半腹这样的并发症.
主要成果:
- 所有患者都报告了手术后疏散的主观改善.
- 腹部放射检查显示出明显的便秘,包括副闭塞或完全闭塞与胃衰竭.
- 一名患者需要手术干预,因为他杀了半体.
- 在医院的管理需要大量的药和频繁的口腔清洗.
结论:
- 传统的结肠静脉技术 (例如,哈特曼的) 可能会限制便的进展,并导致SCI/D患者的便秘.
- 建议采用个性化的口腔管道管理方法,考虑到SCI/D患者的特点.
- 有效的静脉管管理和患者教育对于预防结肠直肠术后的并发症至关重要.
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