一个罕见的胃底血管狂喜病例:一个独特的呈现和诊断挑战
Shirisha Saripalli1, Hiba Suliman2, Hafiz Haseeb3
1Medicine, Grange University Hospital, Cwmbran, GBR.
Cureus
|May 16, 2025
概括
一名患有牛皮性关节炎的75岁男性因胃底血管外解 (GFVE) 而经历了胃肠道出血. 脉冲阿贡血凝固成功停止了出血,稳定了他的病情.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内镜检查是指内镜检查.
背景情况:
- 一名75岁的男性出现了黑色素和急性慢性贫血,表明正在进行的胃肠道出血.
- 该患者有牛皮关节炎病史和慢性缺铁性贫血.
- 初步调查显示,血红蛋白水平显著下降,需要复苏和输血.
研究的目的:
- 报告一个成功进行内镜治疗的病例,该病例是活跃的胃底血管抽血 (GFVE),导致严重的胃肠道出血.
- 为了突出脉冲阿贡血凝固在实现GFVE血静的有效性.
- 讨论相关疾病的管理,包括肝硬化和食道静脉.
主要方法:
- 紧急上部胃肠道内镜检查进行,以确定出血的来源.
- 脉冲阿贡血凝固直接应用于活跃出血的GFVE部位.
- 术后进行了静脉注射铁和支持性护理.
主要成果:
- 内镜检查发现了中度的胃底血管抽血 (GFVE) 与活跃的出血和轻度的胃腹血管抽血.
- 脉冲阿贡血凝固可以实现立即的血静,停止活跃的出血.
- 患者的血红蛋白水平在治疗后稳定,症状明显改善,没有进一步的出血事件报告.
结论:
- 脉冲阿贡-等离子凝血是一种有效的内镜治疗活跃的胃底血管抽血 (GFVE).
- 在这种情况下,成功实现了血液静止,导致临床改善和贫血的稳定.
- 这一案例强调了快速内镜干预对于管理由GFVE引起的显著胃肠道出血的重要性.
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