丙型肝炎治疗期间的胆石症管理:病例报告,包括病理生理学和文献综述

Dean Gardner
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引用次数: 0

摘要

本病例报告的是一名 56 岁的男性,因腹痛到护士指导的丙型肝炎(HCV)诊所就诊。触诊时发现右上腹压痛,墨菲氏征阳性(触诊右肋下区域时吸气时疼痛),因此及时进行了检查,诊断为非梗阻性胆石症(胆结石)。在成功治疗丙型肝炎病毒和手术转诊之前,该患者接受了间隔复查和定期临床评估。本病例研究的主要经验强调,对于主诉腹痛并初诊为 HCV 的患者,考虑并发症诊断非常重要。本病例还支持在对无并发症胆结石进行手术治疗前考虑治疗 HCV 的实用方法。此外,该病例还凸显了多学科团队中高级护士实践的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cholelithiasis management during hepatitis C treatment: a case report including pathophysiology and literature review
This case reports a 56-year-old male attending a nurse-led hepatitis C (HCV) clinic complaining of abdominal pain. Right upper quadrant abdominal tenderness on palpation with a positive Murphy's sign (pain on inspiration during palpation to the right subcostal area) encouraged timely investigation and diagnosis of non-obstructive cholelithiasis (gallstones). This was managed with interval review and regular clinical assessment pending successful HCV treatment and surgical referral. The main lessons from this case study emphasise the importance of considering concurrent diagnoses for patients complaining of abdominal pain when presenting with a primary diagnosis of HCV. This case also supports a pragmatic approach in considering the treatment of HCV before the surgical intervention of uncomplicated gallstones. Furthermore, it also highlights the value of advanced nurse practice within the multi-disciplinary team.
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