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静血阻塞:静血粉应用后内镜保留的一个罕见病例
Carlos Echeverria1, Jahnavi Udaikumar1, Jad Farha2
1Department of Medicine, NYU Grossman School of Medicine, New York, NY.
ACG case reports journal
|January 21, 2026
概括
粉末血静剂Hemospray在治疗上部胃肠道出血时可能导致内镜保留. 在这种罕见的情况下,积极的水灌可能有助于去除内镜.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 血液静止 血液静止 血液静止
背景情况:
- 上部胃肠道出血 (UGIB) 带来了重大的临床挑战.
- 基于粉末的静血剂,如Hemospray (TC-325) 越来越多地用于UGIB管理.
- 罕见的并发症,如内镜保留,已与Hemospray使用报告.
研究的目的:
- 报告在食管胃管腺镜检查期间,Hemospray应用后出现的内镜保留病例.
- 要突出Hemospray引起的内镜保留的潜在风险,特别是在反向伸缩应用时.
- 为这种罕见的并发症提出管理策略.
主要方法:
- 一个74岁的女性患者的病例报告,由于UGIB而导致血液动力学不稳定.
- 消化管胃管腺镜检查显示了用凝和Hemospray治疗的动脉静脉形形.
- 内镜的撤出因粉末粘附而复杂,需要长时间的水灌才能进行清除.
主要成果:
- 在逆向曲过程中,使用hemospray导致了显著的粉末粘附,阻碍了内镜的移除.
- 积极的水灌成功地在90分钟后促进了内镜的去除.
- 患者在支持性护理和奥克特雷奥提德的帮助下血液动力稳定,没有复发性出血.
结论:
- 囊喷雾剂的应用,特别是在逆向曲时,可能会导致内镜的保留.
- 积极的水灌是一种潜在的有效方法来管理Hemospray诱导的内镜保留.
- 需要进一步的研究来优化Hemospray的应用技术,并了解粉末与生物材料的相互作用.
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