当前位置:首页>石家庄>【五院感染特色】石家庄市第五医院成功救治一例八旬疑难重症肝硬化并发消化道出血患者

【五院感染特色】石家庄市第五医院成功救治一例八旬疑难重症肝硬化并发消化道出血患者

  • 2026-02-05 05:31:04
【五院感染特色】石家庄市第五医院成功救治一例八旬疑难重症肝硬化并发消化道出血患者

近日,石家庄市第五医院感染四科(肝纤维化及肝硬化科)联合消化内镜室、介入医学科、外科等多学科团队,通过精准诊断与微创介入治疗,成功救治一名年近八旬、反复消化道出血、病因难查的疑难危重肝硬化患者。充分展现了医院感染院区肝病专业在处理复杂肝硬化合并消化道出血疾病中的综合救治实力,凸显了多学科协作(MDT)模式在急危重症救治中的重要作用。

患者79岁,因“肝硬化”病史多年,近一年来反复出现黑便,多次接受内镜下食管静脉曲张套扎治疗。虽食管静脉曲张有所改善,但便血症状始终未能根除。近两个月来,黑便频率日益增加,伴随后续贫血加重、营养不良、精神萎靡,病情持续恶化。经朋友推荐,慕名来到石家庄市第五医院寻求诊治。

入院之初,患者反复出现大量便血,导致失血性休克征象,生命危在旦夕。感染四科医疗团队接诊后立即启动应急预案,紧急转入重症监护室,进行急诊胃镜检查,仅见食管轻度静脉曲张及门脉高压性胃病,未发现明确活动性出血灶。给予抑酸、止血、降门脉压、输血等综合内科治疗后,出血仍间断发作,治疗效果不佳。面对“出血源难寻、检查难做、病情危重”的三重困境,感染四科(肝纤维化及肝硬化科)主任孙杏丽迅速组织院内多学科团队会诊,特别邀请医院党委书记、消化病学博士、博士生导师郑欢伟教授指导会诊和病例讨论。郑欢伟教授带领大家深入分析患者病史与临床表现,结合患者长期肝硬化病史及门脉高压特征,果断判断:反复便血极可能源于门静脉高压相关的肠道血管病变,出血部位或位于常规内镜难以抵达的深部肠段。

为尽快明确诊断并实施精准干预,医疗团队决定“以介入探路,以微创止血”。在与患者家属充分沟通后,立即实施选择性肠系膜上动脉血管造影。造影结果证实了临床推断——肠系膜上动脉一分支末端血管明显增粗、迂曲、结构紊乱,存在活动性渗血征象,高度怀疑为出血“元凶”。随即,介入团队精准实施肠系膜上动脉栓塞术,采用弹簧圈联合明胶海绵颗粒对病变血管进行局部栓塞,成功实现止血。术后,患者生命体征平稳,肠道出血停止,诊断明确、治疗首战告捷。

在术后观察中,细心的医护人员发现患者出现发热、腹胀、腹痛等症状,查体发现右下腹压痛、移动性浊音阳性,科室立即邀请外科专业会诊,考虑为术后肠缺血继发腹膜炎,并伴有大量腹水。医疗团队迅速调整治疗方案:实施胃肠减压、禁食水、强效抗感染、营养支持,并在患者及家属知情同意下,行腹腔穿刺术,抽取腹水送检。化验结果明确为感染性腹水(致病菌为屎肠球菌)。根据药敏结果及时调整抗生素,并联合静脉注射人免疫球蛋白增强免疫功能,辅以间断放腹水缓解腹压。

在感染四科医护人员的精心照护与规范治疗下,患者感染逐步控制,腹胀腹痛明显缓解,腹水显著减少,整体病情持续好转,最终顺利康复出院。出院时,患者家属激动地表示:“反复多次不能查清的病因,在市五院终于找到了‘病根’,救回了我这条老命,专业医院技术水平就是高!”

此次成功救治疑难重症病例,是石家庄市第五医院多学科协作机制高效运行的生动体现。从内科保守治疗到介入精准止血,从明确感染菌群到抗感染个体化用药,每一个环节都凝聚着团队的智慧与担当。尤其在病因不明、检查受限的复杂情况下,感染专业的专家团队敢于突破常规思维,果断启用血管介入技术,为患者开辟了“微创救命通道”,彰显了在肝硬化合并消化道出血诊疗领域的技术厚度与临床决断力。这种“精准医疗+微创介入”的融合发展模式,为更多疑难危重肝硬化患者点亮生命之光,为更多家庭带来福祉。

END

总编辑|冯爱东

总策划|张彦卿

编辑|温云岭 张伟欣

美工|张彩亚

供稿|感染四科 魏梦萍

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  1. CONNECT:[ UseTime:0.001039s ] mysql:host=127.0.0.1;port=3306;dbname=nowww460;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001566s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.005195s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000677s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001431s ]
  6. SELECT * FROM `set` [ RunTime:0.000589s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001596s ]
  8. SELECT * FROM `article` WHERE `id` = 471074 LIMIT 1 [ RunTime:0.002141s ]
  9. UPDATE `article` SET `lasttime` = 1770301610 WHERE `id` = 471074 [ RunTime:0.014408s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.006009s ]
  11. SELECT * FROM `article` WHERE `id` < 471074 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001161s ]
  12. SELECT * FROM `article` WHERE `id` > 471074 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001057s ]
  13. SELECT * FROM `article` WHERE `id` < 471074 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.003972s ]
  14. SELECT * FROM `article` WHERE `id` < 471074 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.012498s ]
  15. SELECT * FROM `article` WHERE `id` < 471074 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.042356s ]
0.262864s