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在结肠镜检查期间罕见的双边大规模肺胸部,肺中枢,肺上皮和扩散性皮下肺:多学科合作:病例报告
Li-Li Liu1, Mai-Qiao Yang1, Rui Wu2
1Department of Anesthesiology, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, China.
Case reports in gastrointestinal medicine
|September 29, 2025
概括
本案例报告详细介绍了在内镜下粘膜切割 (ESD) 过程中发生的急性结肠穿孔的罕见实例. 及时诊断和多学科管理,包括气体提取和排水,成功地在没有手术的情况下治疗并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
- 医疗成像医学成像
背景情况:
- 结肠镜是常见的手术,但可能会出现严重的并发症,如肠道穿孔.
- 内镜下粘膜切割 (ESD) 是一种先进的内镜技术,用于切除多.
研究的目的:
- 报告一个极为罕见的急性结肠穿孔病例在ESD结肠镜检查期间.
- 强调这种罕见并发症的及时诊断和多学科管理的重要性.
主要方法:
- 一名55岁的女性患者出现腹部疼痛.
- 在结肠多体的ESD期间,患者出现了暗示穿孔的症状.
- 紧急计算机断层扫描 (CT) 扫描证实了广泛的气体扩散 (肺胸部,肺中枢,肺上皮,皮下肺).
主要成果:
- 在手术过程中,患者经历了突然的腹部张张和呼吸障碍.
- CT扫描显示了双边的大型肺胸部,肺中,肺上,以及一般化的皮下肺.
- 患者经过保守的管理,采用气体提取,肋间排水和医疗治疗,取得了良好的结果.
结论:
- 结肠镜检查期间出现的气体扩散并发症虽然很少见,但需要立即识别.
- 多学科合作对于准确的诊断和有效的非手术治疗至关重要.
- 在某些特定的结肠镜穿孔病例中,保守的管理可以成功,避免手术.
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