结肠膜疾病:关于NSAIDs黑暗深度的关注
Yang Tang1, Dongge Gong2, Yan Chen3
1Department of Colorectal Surgery and Oncology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
非类固醇抗炎药物 (NSAIDs) 可以导致结肠膜膜病 (CDD),这是纤维性狭窄的罕见病症. 这一案例凸显了在患有胃肠道问题的患者中识别NSAID诱导的肠道病变的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 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) 广泛使用,但与胃肠道并发症有关.
- 结肠膜膜疾病 (CDD) 是一种罕见的并发症,其特点是纤维缩小,导致光线缩小.
研究的目的:
- 报告一个NSAID诱导的CDD病例.
- 审查有关NSAID诱导的CDD的文献.
- 强调这种罕见疾病的诊断和管理策略.
主要方法:
- 一个58岁的男性长期使用NSAID的案例报告.
- 对53例NSAID诱导的CDD报告的综合文献综述.
- 分析临床表现,诊断挑战和治疗策略.
主要成果:
- 由于NSAID诱导的CDD,患者表现出疲劳,肌和肠道阻塞.
- CDD经常与长时间使用NSAID相关,特别是肠涂层配方,病变主要发生在右结肠中.
- 文献审查证实了共同的临床特征和诊断困难.
结论:
- 在患有无法解释的胃肠道症状的患者中,应考虑使用NSAID诱导的肠道病变,包括CDD.
- 准确的药物史和诊断评估,包括手术和组织学评估,至关重要.
- 有效的管理需要识别NSAID诱导的肠病,并采用量身定制的治疗策略.
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