富平头条 发表于 2024-4-9 14:23:31

首例!ERAT:不开刀、不切除治好阑尾炎

<section powered-by="xiumi.us" style="margin: 0px; padding: 0px 20px; outline: 0px; max-width: 100%; box-sizing: border-box; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); color: rgb(49, 43, 43); font-size: 16px; letter-spacing: 2px; overflow-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; text-indent: 2.25em; overflow-wrap: break-word !important;">近日,富平县医院内镜科首次为一例阑尾粪石患儿成功开展了经内镜下逆行阑尾治疗术(ERAT),为儿童阑尾炎治疗开辟了新的途径,标志着我院内镜治疗技术进入新领域。</p></section><p></p><section powered-by="xiumi.us" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 0; text-align: center; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; vertical-align: middle; display: inline-block; line-height: 0; width: 452.688px; height: auto;"></section></section><section powered-by="xiumi.us" style="margin: 10px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px 20px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; color: rgb(49, 43, 43); letter-spacing: 2px; font-size: 16px;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; text-indent: 2.25em; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-indent: 2.25em;">患儿,男,9岁,因腹痛难耐1天,就诊于我院门诊并行相关检查,提示“阑尾粪石”,为进一步治疗收住我院儿科。</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-indent: 2.25em;">患儿家属担心患儿年龄较小,无法承受外科开刀麻醉之风险,更不愿小小年纪就被切除阑尾,留下永久的疤痕。针对家长担忧,我院儿科联系内镜科会诊,双方经过反复探讨,结合患儿情况为其制定了解决方案——ERAT:是指经内镜逆行阑尾炎治疗术,主要是通过内镜到达阑尾腔,将阑尾腔内的粪石以及脓液冲洗引流,再配合抗生素的治疗,达到治愈阑尾炎的目的。不仅不开刀、而且恢复快、花费小,还可保留阑尾完整。</span><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"/></p></section></section><section powered-by="xiumi.us" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 0; text-align: center; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; vertical-align: middle; display: inline-block; line-height: 0; width: 452.688px; height: auto;"></section></section><section powered-by="xiumi.us" style="margin: 10px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px 20px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; color: rgb(49, 43, 43); letter-spacing: 2px; font-size: 16px;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; text-indent: 2.25em; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-indent: 2.25em;">为了节省患儿等待时间,缩短痛苦,儿科护理团队即刻对患儿进行术前心理疏导,消除患儿内心恐惧,次日便安排了患儿进行ERAT治疗。</span><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-indent: 2.25em;">术中,在肠镜直视下通过导丝导引,将冲洗导管插入阑尾进行冲洗,可见较多黄豆大小粪石及泥沙样粪石流出,随后为防止阑尾口术后粘连行阑尾支架置入。</span><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"/></p></section></section><section powered-by="xiumi.us" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-wrap: wrap; background-color: rgb(255, 255, 255); line-height: 0; text-align: center; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; vertical-align: middle; display: inline-block; line-height: 0; width: 452.688px; height: auto;"></section></section><section powered-by="xiumi.us" style="margin: 10px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px 20px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; color: rgb(49, 43, 43); letter-spacing: 2px; font-size: 16px;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; text-indent: 2.25em; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-indent: 2.25em;">手术全程无麻醉,患儿在内镜科护理人员的悉心“聊天”中很是配合,术后以“比心”诠释着“我一点不怕,一点都不疼!”</span><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"/></p></section></section><section powered-by="xiumi.us" style="margin: 10px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px 20px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; color: rgb(49, 43, 43); letter-spacing: 2px; font-size: 16px;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; text-indent: 2.25em; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; text-indent: 2.25em;">术后第一天,患儿自觉腹痛消失,可下床活动及正常进食,术后第二天复查CT提示:未见异常密度影,术后第三天患儿康复出院。</span></p></section></section><section powered-by="xiumi.us" style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-wrap: wrap; background-color: rgb(255, 255, 255); text-align: center; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; display: inline-block; width: 447.656px; border-width: 2px; border-style: dotted; border-color: rgb(97, 163, 246); height: auto;"><section powered-by="xiumi.us" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; color: rgb(51, 51, 51); text-align: justify;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; text-indent: 2.36em; overflow-wrap: break-word !important;">“内镜下逆行性阑尾炎治疗技术(endoscopic retrograde appendicitis therapy,ERAT)”,打破了阑尾炎必须手术切除的传统观念,在保留阑尾的前提下,通过内镜进行阑尾插管、取石、冲洗、引流等操作,达到快速降低阑尾腔内压力、消退炎症的目的。是一种不开刀,不进腹,无创伤,无瘢痕的全新治疗技术。该技术可以快速消除阑尾炎症,让孩子恢复健康,大大缩短住院时间,减少抗生素的使用。</p></section></section></section><section powered-by="xiumi.us" style="margin: 0px 0px 20px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px 20px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; color: rgb(49, 43, 43); font-size: 16px; letter-spacing: 2px;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; text-indent: 2.25em; overflow-wrap: break-word !important;">一直以来,富平县医院依托优势医疗资源和先进的硬件设备,以患者为中心,不断创新技术,提高诊疗水平,引领县域卫生健康事业的发展,为健康富平做出了积极的贡献!</p></section></section><section powered-by="xiumi.us" style="margin: 0.5em 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(97, 162, 88); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 15px; letter-spacing: 2.7px; text-align: justify; text-wrap: wrap; background-color: rgb(255, 255, 255); overflow-wrap: break-word !important;"><section style="margin: 0px; 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