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在状细胞患者中与肠道炎相关的伪阻塞:一种罕见的腹部灾难
Munir Ahmad1, Mohammed Alblooshi1,2, Abdalla Aboelkheir3
1Department of Pediatric Surgery and Urology, Al Jalila Children's Specialty Hospital, Dubai, ARE.
Cureus
|April 9, 2025
概括
状细胞疾病 (SCD) 中的急性结肠伪阻塞可以模仿其他疾病. 早期识别肠球炎相关的伪阻塞和多学科护理对于有效的管理和避免手术至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 血液学 血液学 血液学
- 传染性疾病 传染性疾病
背景情况:
- 急性结肠伪阻塞 (Ogilvie综合征) 是一种罕见的疾病,导致腹部膨胀和疼痛,通常模仿机械阻塞.
- 状细胞病 (SCD) 患者面临由于血管封闭性危机,血液溶解和感染而增加胃肠道并发症的风险.
研究的目的:
- 在患有SCD的儿科患者中报告急性结肠伪阻塞病例.
- 突出SCD患者这种疾病的诊断挑战和有效的管理策略.
主要方法:
- 一个14岁的男性患有SCD的病例报告,表现为腹部疼痛和膨胀.
- 诊断工作包括成像 (揭示结肠膨胀和肺炎) 和传染性评估 (识别肠病原性大肠杆菌).
- 管理涉及一个多学科的方法与非手术措施:鼻胃解压,抗生素,肠道营养,和 prokinetic 药物.
主要成果:
- 患者被诊断为急性结肠伪阻塞与肠球炎相关,而不是有毒的大结肠.
- 非手术治疗导致结肠膨胀的逐渐改善,并安全地恢复口服养.
- 患者在成功治疗后在稳定的状态下出院.
结论:
- 肠道结肠炎相关的结肠伪阻塞是SCD患者出现腹部症状的关键考虑因素.
- 综合性感染查和多学科管理策略对于最佳结果至关重要.
- 在这些复杂的病例中,早期诊断和非手术治疗可以防止不必要的手术干预.
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