重度溃疡性结肠炎1例内科优化治疗

来源 :中南大学学报（医学版） | 被引量 : 0次 | 上传用户：zhangchaoyi222

【摘要】

：

重度溃疡性结肠炎通常病情重、发展快,出现危及生命的并发症和结肠切除的风险特别高.对于溃疡性结肠炎,当内科治疗无效时可考虑手术治疗.1例重度溃疡性结肠炎经采用常规药物治疗无效,出现低血压性休克等并发症,达到行外科手术的指征,因患者为年轻未婚、未恋女性,术后存在影响生活质量、性功能障碍、不孕等风险,故经分析内科疗效不佳的原因后采取规范治疗方案,充分增强营养支持,调节肠道微生态等个体化治疗,患者由重度转为轻度.对该患者的内科优化治疗提示营养支持在溃疡性结肠炎中与药物治疗同样重要.

【作者】

：

龙美春刘敏吴传聪美合日古丽·库尔班郭勤

【机构】

：

中南大学湘雅三医院消化内科,长沙410013;中南大学湘雅三医院营养科,长沙410013

【出处】

：

中南大学学报（医学版）

【发表日期】

：

2021年12期

【关键词】

：

溃疡性结肠炎治疗无效优化治疗

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重度溃疡性结肠炎1例内科优化治疗

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