多学科团队协作诊治克罗恩病合并再喂养综合征和淋巴结结核一例  

The diagnosis and treatment for a case of Crohn′s disease complicated with refeeding syndrome and lymph node tuberculosis by the cooperation of multidisciplinary team

作　　者：余乔 金丹[1] 王宇芳[2] 黄晓旭 徐定婷[1] 沈可人 施梦佳 王玉婷 许晶虹[4] 吕敏芳[1] 廖秀军 陈焰[1] Yu Qiao;Jin Dan;Wang Yufang;Huang Xiaoxu;Xu Dingting;Shen Keren;Shi Mengjia;Wang Yuting;Xu Jinghong;Lyu Minfang;Liao Xiujun;Chen Yan(Department of Gastroenterology,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Gastroenterology,Hangzhou Third People′s Hospital,Hangzhou 310009,China;Department of Nutrition,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Pathology,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Colorectal Surgery and Oncology,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院消化内科,杭州310009 [2]杭州市第三人民医院消化内科,杭州310009 [3]浙江大学医学院附属第二医院营养科,杭州310009 [4]浙江大学医学院附属第二医院病理科,杭州310009 [5]浙江大学医学院附属第二医院大肠外科,杭州310009

出　　处：《中华炎性肠病杂志（中英文）》2023年第1期86-89,共4页Chinese Journal of Inflammatory Bowel Diseases

基　　金：国家自然科学基金(81700455);黎介寿肠道屏障研究专项基金(LJS-201703)。

摘　　要：营养不良在炎症性肠病患者中发生率很高,重度营养不良一旦出现再喂养综合征,有危及患者生命的风险。本文报道浙江大学医学院附属第二医院收治的1例克罗恩病患者,因为长期营养不良,出现再喂养综合征,同时合并淋巴结结核,经过消化内科、营养科、大肠外科、病理科等多学科讨论、诊断和治疗,患者病情得到明显缓解。Malnutrition is highly prevalent in patients with inflammatory bowel disease,which can be life-threatening when refeeding syndrome occurs.This article reports a patient with Crohn′s disease admitted to the Second Affiliated Hospital of Zhejiang University School of Medicine who developed refeeding syndrome due to long-term malnutrition and complicating lymph node tuberculosis.After the discussion,diagnosis and treatment of multidisciplinary team including Departments of Gastroenterology,Nutrition,Colorectal Surgery and Oncology,and Pathology,the patient was improved significantly.

关 键 词：克罗恩病 再喂养综合征 结核 淋巴结 营养不良 乌司奴单克隆抗体 血磷 多学科团队 

分 类 号：R574.62[医药卫生—消化系统]