多学科团队协作诊治的合并肠穿孔的重症溃疡性结肠炎  

The diagnosis and therapy for severe ulcerative colitis with intestinal perforation by the cooperation of multidisciplinary team

作　　者：任俊杰[1] 郭俊芝[1] 殷云勤[1] 黄河[2] 崔潇龙[2] 李宁[3] 霍丽娟[1] Ren Junjie;Guo Junzhi;Yin Yunqin;Huang He;Cui Xiaolong;Li Ning;Huo Lijuan(Department of Gastroenterology and Hepatology,the First Hospital,Shanxi Medical University,Taiyuan 030001,China;Department of Gastrointestinal Surgery,the First Hospital,Shanxi Medical University,Taiyuan 030001,China;Department of Pathology,the First Hospital,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第一医院消化内科,太原030001 [2]山西医科大学第一医院胃肠外科,太原030001 [3]山西医科大学第一医院病理科,太原030001

出　　处：《中华炎性肠病杂志（中英文）》2022年第3期271-274,共4页Chinese Journal of Inflammatory Bowel Diseases

基　　金：山西省2020年度卫生健康科研课题(2020079);山西医科大学第一医院科研人才资助计划——博士启动资助(17)。

摘　　要：本文报道1例重症溃疡性结肠炎(SUC)患者,在除外机会性感染的基础上,激素治疗无效并发肠穿孔,最终行外科急诊手术治疗。术后经多学科团队(MDT)讨论,以肠内营养支持治疗为主,辅助直肠抗炎治疗,择期行回肠储袋肛管吻合术,患者获得较好的生活质量。通过病例分析结合文献学习,探讨SUC的MDT诊治策略。This article reports a case of severe ulcerative colitis(SUC).On the basis of excluding the opportunistic infection,the patients failed in hormone therapy with following intestinal perforation,and received emergency surgery finally.After the surgery,the main treatment discussed by the cooperation of multidisciplinary team(MDT)was enteral nutritional support therapy with rectal anti-inflammatory therapy as adjunctive treatment,and ileal pouch anal anastomosis was performed at selected time.The patient achieved a good quality of life.The case analysis combined with literatures was conducted in order to explore the MDT diagnosis and treatment strategies of SUC.

关 键 词：溃疡性结肠炎 重症 肠穿孔 外科手术 机会性感染 多学科团队 

分 类 号：R574.62[医药卫生—消化系统]