巨大的直肠出血后带绑定内部:一个案例报告
Andrew M Turunen1, Sushil Kumar Garg2, Talya A Lorenz3
1Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, ATurunen@uwhealth.org.
在带绑定 (RBL) 后,延迟大量直肠出血甚至可以发生在没有出血风险的患者中. 这种罕见的并发症需要在手术后的时间内保持警,以便早期发现和治疗.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 带绑定 (RBL) 是治疗内的标准手术.
- 虽然RBL通常是安全的,但存在延迟出血的风险,特别是在使用抗凝血剂,抗血小板剂或NSAIDs的患者中.
研究的目的:
- 在没有典型出血风险因素的患者中报告RBL后大量延迟直肠出血的罕见病例.
- 强调对RBL后延迟并发症的监测的重要性.
主要方法:
- 一个病例报告,一名34岁的妇女在RBL后15天出现了大量的直肠出血.
- 诊断灵活的西格莫多斯科普检查发现了有可见血管的.
- 通过使用内镜剪贴放置和静血喷雾来实现静血.
主要成果:
- 患者在RBL后15天经历了大量的直肠出血,尽管没有出血障碍的病史或使用血液稀释药物.
- 内镜干预成功控制了出血.
- 患者没有进一步的并发症就康复了.
结论:
- 巨大的直肠出血是一种罕见但潜在的RBL并发症,即使在低风险个体中也会发生.
- 这一案例强调了需要持续对患者进行监测和教育,以了解RBL后延迟出血的迹象.
- 医疗保健提供者应保持对延迟出血并发症的高度怀疑指数,无论患者的风险因素如何.
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