1例复杂克罗恩病伴严重并发症患者的诊治

A case of complex Crohn's disease with severe complication

克罗恩病是一种病因不明的慢性非特异性肠道炎症性疾病,病程多迁延,反复发作,在病程进展中可出现梗阻、瘘管形成、穿孔、出血等并发症。克罗恩病的早期诊断、治疗方案的选择以及手术时机的把握一直存在较大的争议和挑战。2014年10月中南大学湘雅三医院消化内科收治1例伴有严重并发症的克罗恩病女性患者,现就其诊治过程报道如下并探讨药物、手术治疗方案及时机的选择问题。

Crohn＇s disease（CD） is a nonspecific chronic intestinal inflammatory disease with unknown etiology. Th e course of CD is persistent and recurrent. In the progress, CD can come with many complications such as obstruction, fistula formation, perforation, and hemorrhage. The early diagnosis, treatment, and the time of the surgery for CD pose a big controversy and challenge. Th ere was a female patient diagnosed as Crohn＇s disease with severe complication in department of Gastroenterology of the Third Xiangya Hospital, Central South University. We reported the diagnosis and treatment on this patient. Th e choice for the medicine and surgury was discussed.