布维雷综合征:诊断难题与治疗策略--面向医护人员的综合教育方法

Paweł Dąda, Paweł Pawlik, Przemysław Zaroda, Patrycja Niewinna, Michał Żuchowski, Dominika Mańdziuk, Klaudia Kołodziej, Wojciech Kołodziej, Jakub Wawrzkowicz, Monika Korga
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引用次数: 0

摘要

布维氏综合征是胆石症的一种罕见并发症,给诊断和治疗带来了巨大挑战,尤其是对患有多种并发症的老年人。该病的死亡率为 12-30%,强调了及时准确诊断的重要性。恶心、呕吐和腹痛等非特异性症状导致诊断延迟。医护人员,尤其是消化内科和外科的医护人员,需要接受有关布瓦雷综合征的全面教育。培训应强调各种诊断方式,包括 X 光、超声波和核磁共振成像等影像学技术的使用。认识到该综合征的罕见性以及各领域专家之间的合作对于有效治疗至关重要。此外,教育计划应强调个体化治疗方案的必要性,考虑患者的年龄、合并症和周围组织的炎症状态等参数。虽然内窥镜手术的成功率较低,但由于老年患者接受开刀手术的风险较高,因此内窥镜手术往往是首选。持续医学教育也应强调糖尿病与布瓦雷综合征之间的潜在联系,强调识别风险因素和确保及时医疗干预的重要性。总之,通过有针对性的教育来增强医护人员的知识基础对于改善布瓦雷综合征的诊断和管理至关重要,最终有助于改善患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bouveret's Syndrome: Diagnostic Dilemmas and Therapeutic Strategies - A Comprehensive Educational Approach for Healthcare Professionals
Bouveret's syndrome, a rare complication of gallstone disease, poses a significant diagnostic and therapeutic challenge, particularly in elderly individuals with multiple comorbidities. The mortality rate ranges from 12-30%, emphasizing the importance of prompt and accurate diagnosis. Nonspecific symptoms, such as nausea, vomiting, and abdominal pain, contribute to delayed diagnosis. Healthcare professionals, especially those involved in gastroenterology and surgery, require comprehensive education on Bouveret's syndrome. Training should emphasize the diverse diagnostic modalities, including the use of imaging techniques such as X-rays, ultrasound, and MRI. Awareness of the syndrome's rarity and collaboration among specialists from various fields are crucial for effective management. Additionally, educational programs should underscore the need for individualized treatment plans, considering patient parameters such as age, comorbidities, and the inflammatory state of surrounding tissues. While endoscopic procedures exhibit lower success rates, they are often preferred due to the high risk associated with open surgical procedures in elderly patients. Continuous medical education should also highlight the potential link between diabetes and Bouveret's syndrome, emphasizing the importance of recognizing risk factors and ensuring timely medical intervention. In conclusion, enhancing the knowledge base of healthcare professionals through targeted education is essential for improving the diagnosis and management of Bouveret's syndrome, ultimately contributing to better patient outcomes.
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