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1例胃镜下早期胃癌粘膜剥离术后并发穿孔的护理体会 被引量:5

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摘要 内镜下黏膜剥离术(endoscopic submucosal dissection,ESD)是一项治疗早期消化道癌的微创新治疗技术[1],它具有创伤小、疗效好的特点,但是ESD毕竟是一种侵入性的治疗方法,在术中术后有可能发生并发症,主要的并发症有腹痛、出血、穿孔、感染,其中穿孔最为危急.若患者在术中已经发生了穿孔,常规处理除了胃肠减压,交代患者禁食水外,监督患者禁食水是重点,现介绍一例ESD术中穿孔,经过胃肠减压等措施后已控制病情发展,但因患者私自饮水造成再次穿孔必须转外科手术治疗的病例,希望同行能从中吸取经验教训.
机构地区 解放军
出处 《西南军医》 2010年第6期1249-1250,共2页 Journal of Military Surgeon in Southwest China
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  • 1周平红,姚礼庆,钟芸诗,徐美东,高卫东,何国杰,张轶群,陈巍峰,秦新裕.直肠类癌的内镜超声诊断和内镜黏膜下切除[J].中华消化内镜杂志,2006,23(3):175-178. 被引量:68
  • 2Inoue H, Takeshita K, Hori H, et al. Endoscopic mucosal resection with a cap-fitted panendoscope for esophagus, stomach, and colon mucosal lesions. Gastrointest Endosc ,1993,39:58-62.
  • 3Ono H, Kondo H, Gotoda T, et al. Endoscopic mucosal resection for treatment of early gastric cancer. Gut,2001,48:225-229.
  • 4Tamura S, Nakajo K, Yokoyama Y, et al. Evaluation of endoscopic mucosal resection for laterally spreading rectal tumors. Endoscopy,2004,36:306-312.
  • 5Gotoda T, Kondo H, Ono H, et al. A new endoscopic mucosal resection procedure using an insulation-tipped electrosurgical knife for rectal flat lesions: report of two cases. Gastrointest Endosc, 1999,50:560-563.
  • 6Yamamoto H, Kawata H, Sunada K, et al. Successful en-bloc resection of large superficial tumors in the stomach and colon using sodium hyaluronate and small-caliber-tip transparent hood. Endoscopy,2003,35:690-694.
  • 7The Japanese Gastric Cancer Association. Guidelines for gastric cancer treatment [ in Japanese ]. Tokyo : Kanehara-Shuppan,2001.
  • 8Yamamoto H, Yube T, Isoda N, et al. A novel method of endoscopic mucosal resection using sodium hyaluronate. Gastrointest Endosc,1999,50:251-256.
  • 9Yahagi N, Fujishiro M, Kakushima N, et al. Endoscopic submucosal dissection for early gastric cancer using the tip of an electro-surgical snare (thin type). Dig Endosc, 2004,16:34-38.
  • 10Soetikno R, Gotoda T, Nakanishi Y, et al. Endoscopic mucosal resection. Gastrointest Endosc, 2003,57:567-579.

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