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內(nèi)鏡下疑診胃-橫結(jié)腸瘺1例

發(fā)布時(shí)間:2018-12-27 07:04
【摘要】:正胃-結(jié)腸瘺是由于胃或結(jié)腸病變所導(dǎo)致的并發(fā)癥,是胃與結(jié)腸之間直接通過瘺管連通,從而以頑固性腹瀉、嚴(yán)重營養(yǎng)不良等為主要癥狀的一種疾病。臨床上較為罕見,即便是專業(yè)從事消化科或內(nèi)鏡專業(yè)的醫(yī)師亦可能在日常工作中忽視或漏診該疾病。1臨床資料患者男,63歲,因解糊狀大便8~10次/d,伴消瘦、噯氣伴有糞臭味5年余前來就診;颊30年前曾行胃大部分切除術(shù)。入院體查:體溫:36℃,脈搏:
[Abstract]:Positive gastro-colonic fistula is a complication caused by gastric or colonic diseases. It is a kind of disease that connects stomach and colon directly through fistula and thus takes stubborn diarrhea and severe malnutrition as the main symptoms. Clinical practice is relatively rare, and even physicians specializing in digestive or endoscopy may neglect or miss the diagnosis of the disease in their daily work. 1 male, 63 years old, with wasting due to gelatinized stool 810 times per day, Belching accompanied by fecal odor more than 5 years to see a doctor. The patient underwent partial gastrectomy 30 years ago. Admission examination: body temperature: 36 鈩,

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