高压氧疗法在治疗严重的胃撕裂与活跃出血的治疗:一个病例报告
Jie-Li Chen1, Hui-Xin Zhi1, Jun-Yu Pan1
1Department of Gastroenterology, Shenzhen People's Hospital (Jinan University of Second Clinical Medical Sciences), Shenzhen 518020, Guangdong Province, China.
在内镜干预失败时,高压氧气疗法 (HBOT) 可能是严重胃撕裂的可行的治疗方法. 这种方法为特定患者的胃肠道出血管理提供了潜在的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 高压医学的高压医学.
背景情况:
- 内镜治疗是马洛里-韦斯综合征的标准,但并不总是可行的.
- 当内镜检查失败时,可以使用栓塞或手术等替代治疗方法.
- 高压氧气疗法 (HBOT) 在胃撕裂出血方面没有记录.
研究的目的:
- 评估HBOT对胃底撕裂和对常规治疗无反应的活跃出血患者的疗效.
主要方法:
- 一名52岁的患者因4厘米x5厘米的胃底撕裂而出现了血和黑色斑.
- 撕裂被认为不适合内镜修复.
- 在保守管理失败后,给予HBOT.
主要成果:
- 由于HBOT导致了活跃出血的停止.
- 患者在HBOT后经历了快速的伤口愈合.
- 这表明HBOT在治疗胃出血方面可能是有益的.
结论:
- 对于有活跃出血的胃撕裂,HBOT是一个潜在的治疗选择.
- 当内镜疗法不可行或失败时,它可能特别有用.
- 需要进一步的研究来证实HBOT在控制胃出血中的作用.
更多相关视频
04:20A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma
Published on: July 28, 2020
04:00Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
相关概念视频
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Gastritis III: Clinical Manifestations and Management
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Peptic Ulcer Disease IV: Management
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
