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

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.