目的:通过1例病例报道分析小肠腺癌的诊疗过程,从临床症状、影像特点及鉴别诊断分析并进行总结,增加对小肠腺癌的认识以及相关疾病的鉴别。方法:报道小肠腺癌误诊为肠系膜上动脉综合征1例。结果:前期因误诊为肠系膜上动脉综合征予以保...目的:通过1例病例报道分析小肠腺癌的诊疗过程,从临床症状、影像特点及鉴别诊断分析并进行总结,增加对小肠腺癌的认识以及相关疾病的鉴别。方法:报道小肠腺癌误诊为肠系膜上动脉综合征1例。结果:前期因误诊为肠系膜上动脉综合征予以保守治疗,后因症状未明显改善行手术治疗,术后最终病理结果,诊断为小肠腺癌。现患者术后经过5个周期化疗,随诊至今患者暂无转移复发。结论:小肠腺癌是一种罕见的消化道恶性肿瘤,因其症状不典型,无特异的实验室检查及影像学检查,在临床上容易造成误诊,延误患者治疗。在诊疗过程中,应结合多种影像学检查及患者症状,做出正确的治疗方法,以免延误患者治疗。Objective: To analyze the diagnosis and treatment process of small bowel adenocarcinoma through a case report, analyze and summarize the clinical symptoms, imaging characteristics and differential diagnosis, and increase the understanding of small bowel adenocarcinoma and the identification of related diseases. Methods: One case of small bowel adenocarcinoma was misdiagnosed as superior mesenteric artery syndrome. Results: Conservative treatment was given for misdiagnosis of superior mesenteric artery syndrome in the early stage, and surgery was performed later due to no significant improvement in symptoms, and the final pathological result after surgery was diagnosed as adenocarcinoma of the small intestine. The current patient has undergone 5 cycles of chemotherapy after surgery, and there has been no metastasis recurrence so far. Conclusion: Adenocarcinoma of the small intestine is a rare malignant tumor of the digestive tract, which is easy to cause misdiagnosis and delay the treatment of patients due to its atypical symptoms and no specific laboratory tests and imaging examinations. In the process of diagnosis and treatment, the correct treatment should be made in combination with a variety of imaging examinations and the patient’s symptoms, so as not to delay the treatment of the patient.展开更多
目的探讨仿生唾液腺诱导技术在孤立性肠系膜上动脉夹层(isolated superior mesenteric artery dissection,ISMAD)介入术后缓解继发口干症的应用效果。方法随机数字抽样法选取2020年3月至2022年12月南京医科大学附属南京医院收治的ISMAD...目的探讨仿生唾液腺诱导技术在孤立性肠系膜上动脉夹层(isolated superior mesenteric artery dissection,ISMAD)介入术后缓解继发口干症的应用效果。方法随机数字抽样法选取2020年3月至2022年12月南京医科大学附属南京医院收治的ISMAD腔内治疗80例患者为研究对象。对照组40例患者术后1~48 h使用棉签蘸温水(25~35℃)湿润口唇,术后1~2 h内每15 min 1次,3~48 h内每30 min 1次。试验组40例患者术后1~48 h使用仿生唾液腺诱导技术提供15 mL/h的连续可控水流,持续保持口唇和口腔内湿润。观察两组术后1、12、24、48 h口干程度及口腔舒适度。结果试验组术后1、12、24、48 h口渴发生率及口渴程度显著低于对照组(P<0.01),试验组术后不同时间点口腔舒适度显著优于对照组(P<0.01)。结论ISMAD介入术后应用仿生唾液腺诱导湿润技术能显著降低口渴发生率,提高患者口腔舒适度。展开更多
文摘目的:通过1例病例报道分析小肠腺癌的诊疗过程,从临床症状、影像特点及鉴别诊断分析并进行总结,增加对小肠腺癌的认识以及相关疾病的鉴别。方法:报道小肠腺癌误诊为肠系膜上动脉综合征1例。结果:前期因误诊为肠系膜上动脉综合征予以保守治疗,后因症状未明显改善行手术治疗,术后最终病理结果,诊断为小肠腺癌。现患者术后经过5个周期化疗,随诊至今患者暂无转移复发。结论:小肠腺癌是一种罕见的消化道恶性肿瘤,因其症状不典型,无特异的实验室检查及影像学检查,在临床上容易造成误诊,延误患者治疗。在诊疗过程中,应结合多种影像学检查及患者症状,做出正确的治疗方法,以免延误患者治疗。Objective: To analyze the diagnosis and treatment process of small bowel adenocarcinoma through a case report, analyze and summarize the clinical symptoms, imaging characteristics and differential diagnosis, and increase the understanding of small bowel adenocarcinoma and the identification of related diseases. Methods: One case of small bowel adenocarcinoma was misdiagnosed as superior mesenteric artery syndrome. Results: Conservative treatment was given for misdiagnosis of superior mesenteric artery syndrome in the early stage, and surgery was performed later due to no significant improvement in symptoms, and the final pathological result after surgery was diagnosed as adenocarcinoma of the small intestine. The current patient has undergone 5 cycles of chemotherapy after surgery, and there has been no metastasis recurrence so far. Conclusion: Adenocarcinoma of the small intestine is a rare malignant tumor of the digestive tract, which is easy to cause misdiagnosis and delay the treatment of patients due to its atypical symptoms and no specific laboratory tests and imaging examinations. In the process of diagnosis and treatment, the correct treatment should be made in combination with a variety of imaging examinations and the patient’s symptoms, so as not to delay the treatment of the patient.
