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目的探讨腹膜后多发性神经纤维瘤术后致短肠综合征的原因和治疗。方法总结我院2004年收治的一例多发性神经纤维瘤术后并发短肠综合征的治疗经过。结果患者经手术切除腹膜后多发性神经纤维瘤,术后一周再次手术行缺血坏死小肠切除,仅剩余近段空肠约50cm左右,术后经抗炎、营养支持等综合治疗,病情逐渐稳定。结论腹膜后多发性神经纤维瘤术后并发小肠广泛坏死是肠系膜血管病变基础上多因素共同作用的结果。
Objective To investigate the causes and treatment of short bowel syndrome after retroperitoneal multiple neurofibroma. Methods Summarized in our hospital in 2004, a case of multiple neurofibromatosis complicated by short bowel syndrome after treatment. Results The patients underwent resection of retroperitoneal multiple neurofibroma. One week after operation, ischemia-retentive small intestine resection was performed. Only about 50 cm remained in the proximal jejunum. After anti-inflammatory and nutritional support, the disease gradually stabilized. Conclusions Retroperitoneal multiple neurofibromatosis complicated with extensive necrosis of small intestine is the result of multiple factors on the basis of mesenteric vascular disease.