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与NSAID使用相关的巨大的胃肠道出血在患有乳房直肠解剖症的患者中
Esere Nesiama1, Letisha Mirembe2, Kierra Weber3
1University of South Carolina School of Medicine/Prisma Health Department of Orthopaedic Surgery, Columbia, USA.
Case reports in surgery
|September 9, 2024
概括
非类固醇抗炎药物 (NSAIDs) 可以导致胃肠道出血,甚至在小肠中. 对于患有直肠出血的患者,建议停止使用NSAID,然后进行进一步的诊断和治疗计划.
科学领域:
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 非类固醇抗炎药物 (NSAIDs) 广泛用于缓解疼痛和炎症.
- 与NSAID相关的胃肠道出血 (GIB) 在上部胃肠道已得到充分证实.
- 较少了解NSAID诱导的GIB偏离十二指肠,特别是在小肠中.
研究的目的:
- 要突出一个与NSAID相关的小肠隐性出血病例.
- 强调在患有无法解释的直肠出血的患者中考虑使用NSAID的重要性,特别是那些先前经过胃肠道手术的患者.
主要方法:
- 案例报告的呈现方式.
- 对临床表现和患者病史的审查.
- 讨论诊断和管理策略.
主要成果:
- 该报告详细介绍了一名患有小肠隐性出血的患者.
- 这种出血与患有机器人全切除术和大肠直肠解剖病史的患者的NSAID消费有关.
结论:
- 停用NSAID对于呈现直肠亮红血和NSAID使用的患者至关重要.
- 应考虑个性化治疗计划,包括内镜和/或血管栓塞,以管理与NSAID相关的GIB远距离十二指肠.
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