造口近端结肠空气瘘
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多重并发症让病人痛苦不堪,多学科联合打赢“肠道归位战”
Yang Zi Wan Bao Wang· 2025-09-25 06:39
Core Insights - The article discusses the complex medical case of a 56-year-old woman suffering from multiple health issues, including myasthenia gravis and complications from a colon perforation, which required advanced surgical intervention [1][3][4]. Group 1: Patient Condition and Initial Treatment - The patient, suffering from myasthenia gravis, experienced a spontaneous colon perforation leading to severe infections and complications post-surgery, including colostomy-related issues [1][3]. - Initial treatment involved abdominal washing, partial resection of the sigmoid colon, and colostomy, but resulted in further complications such as colonic fistula and severe infections [3][4]. Group 2: Surgical Intervention - The surgical team at Southeast University Affiliated Zhongda Hospital, led by Dr. Tao Qingsong, performed a complex laparoscopic surgery to address the colonic fistula and restore normal bowel function [4]. - The surgery included left hemicolectomy, adhesiolysis, colostomy reversal, and abdominal wall reconstruction, with minimal blood loss of only 100 milliliters [4]. Group 3: Post-Surgery Recovery - Post-operative care involved close monitoring in the intensive care unit, followed by a tailored rehabilitation plan to ensure recovery of bowel function and overall health [4]. - The patient showed significant improvement, was able to mobilize shortly after surgery, and did not experience any complications such as recurrent infections [4]. Group 4: Medical Insights and Recommendations - Experts highlighted that infections are a significant factor in the deterioration of myasthenia gravis, often leading to respiratory failure and swallowing difficulties [5]. - Recommendations for myasthenia gravis patients include strict hygiene practices and immediate medical attention for any signs of infection or worsening symptoms [5].