探讨以下消化道大出血为首发症状的克罗恩病的诊断和治疗。回顾性分析1例克罗恩病患者的临床资料,并对相关文献进行复习和总结。采用输血、支持疗法和手术疗法,明确诊断克罗恩病。当下消化道大出血作为克罗恩病的首发症状,而肠道症状不典型或缺乏时,紧急情况下为挽救患者生命,可行手术治疗。为防止术后再次发生出血,可首选生物制剂进行治疗。
To investigate the strategy in the diagnosis and treatment of Crohn’s disease that represents lower gastrointestinal tract massive hemorrhage as the first symptom.A case of Crohn’s disease was retrospectively analyzed, combined with pertinent literature review.Blood transfusion, supportive therapy, and operation were administered to establish the final diagnosis of Crohn’s disease.The case analysis indicated that operation is valuable for treating Crohn’s disease in case that lower gastrointestinal tract massive hemorrhage is the first symptom and intestinal symptoms are atypical or absent.In order to prevent postoperative hemorrhage, biological agent is the first choice.
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