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目的探讨Abernethy畸形致下消化道出血的诊断及治疗方法。方法回顾1例Abernethy畸形患者的诊治情况,并结合相关文献进行分析。结果血管造影确诊后经积极术前准备,行剖腹探查、乙状结肠造瘘术,术后3周开始给予中药保留灌肠至术后7周,6个月关闭造瘘,3周后继续辅以中药保留灌肠4周。患者顺利恢复出院,随访9个月未再次出血。结论正确的诊断及合理的治疗方案是救治的关键。
Objective To investigate the diagnosis and treatment of Abernethy deformity caused by lower gastrointestinal bleeding. Methods The diagnosis and treatment of one Abernethy deformity patient were retrospectively analyzed and analyzed with related literatures. Results After angiography confirmed by positive preoperative preparation, laparotomy, sigmoidostomy, 3 weeks after the start of traditional Chinese medicine to retain enema until 7 weeks after surgery, 6 months to close the fistula, 3 weeks after the continued supplement with traditional Chinese medicine Enema for 4 weeks. The patient recovered smoothly and was not bleeding again for 9 months. Conclusion The correct diagnosis and reasonable treatment plan is the key to treatment.