开腹胃肠结核病人的直接腹膜复苏术

Surgery Case Reports Pub Date : 2024-03-28 DOI:10.1016/j.sycrs.2024.100015

Michael Geoffrey L. Lim , Mark Augustine S. Onglao , Aireen Patricia Madrid , Marc Paul J. Lopez

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引用次数: 0

摘要

理由/目的本病例报告旨在说明开腹直接腹膜复苏治疗胃肠道结核患者的方法。我们介绍了一名 49 岁的营养不良男性患者，他处于脓毒性休克状态，因胃肠道结核（GITB）引起机械性肠梗阻，需要延迟闭腹。作为一种辅助手段，直接腹膜复苏术（DPR）通过减轻器官水肿和降低炎性细胞因子水平缩短了闭合时间。结论直接腹膜复苏术对于需要延迟腹腔闭合的患者来说是一种可行的辅助方法。

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Direct peritoneal resuscitation in a patient with gastrointestinal tuberculosis with an open abdomen

Rationale/objectives

This case report aims to illustrate the methodology involved in the management of a patient with gastrointestinal tuberculosis with an open abdomen with direct peritoneal resuscitation. We present a 49-year-old malnourished male, in septic shock, who presented with mechanical intestinal obstruction from gastrointestinal tuberculosis (GITB) and required delayed abdominal closure. Direct peritoneal resuscitation (DPR) was employed as an adjunct to shorten the interval to closure by reducing organ edema and inflammatory cytokine levels.

Methods

This is a case report describing the procedure of direct peritoneal resuscitation and its use in non-trauma related surgeries requiring delayed abdominal closure.