1例复杂克罗恩病伴严重并发症患者的诊治.pdfVIP

中南大学学报(医学版) J CentSou仇 Univ (Med Sci) 2016,41(4) http://www.csumed吨 440 • CASE ANALYSIS • ·临床铺例讨论· I.I~I.I 主匾Ð3军 DOI: 10.11817/j .issn. 1672-7347.2016.04.017 面黯嚣…例/劝wk/臼eup/PDF/201 l 例复杂克罗恩病伴严重并发症患者的诊治 田力，唐岸柳，刘芬，郭勤，王晓艳，沈守荣 (中南大学湘雅三医院消化内科，长沙41∞13) [摘要]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、瘦管形成、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。 [关键词]克罗恩病;肠外凄;粪菌移植;手术时机 A case of complex Crohns disease with severe complication TIAN Li, TANG Anliu , LlU Fen, GUO Q!n ,WANG Xiaoyan, SHEN Shourong (Department 01 G时oe耐rology， 1hirdXiangya Hωpital， Central South University, Changsha 410013, China) ABSTRACT Crohns disease (CD) is a nonspecific chronic intestinal inflammatory disease with unknown etiology. 咀le 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. 咀lere was a female patient diagnosed as Crohns 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. τhe choice for the medicine and surgu巧was discussed. KEYWORDS Crohns diseasej enterocutaneou fistulaj fecal microbiota tr皿splantationj the timing ofthe surgery 克罗恩病(Crohns disease , CD)是一种病因 壮年，病程多迁延反复，严重影响患者的生活质 不明的慢性非特异性肠道炎症性疾病，好发于青