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88岁男子一天腹泻30多次 竟是儿子的粪便治好了他

2017-06-13 10:59:45   中国青年网

近日,山东大学附属济南市中心医院消化内科接诊了一名严重腹泻的患者,一天腹泻30多次,患者痛苦至极,为解除患者痛苦。消化内科副主任医师舒荣华联系临床微生物科杨炜华博士看看能否通过粪菌移植来解决患者的病痛。经过对患者病情和身体状况的评估,与患者及家人沟通后,患者及家属同意实施粪菌移植,实施粪菌移植后仅四个多小时的时间,患者的腹泻就明显好转了!!

一天腹泻30多次

患者突发顽固肠道感染

今年88多岁的于先生,近日刚刚康复出院,说到此次遭遇的疾病折磨,他连声感谢,感谢山东大学附属济南市中心的医护人员救了他。

一次癌症切除手术之后,于先生的身体越来越弱,“出现了严重腹泻,一天腹泻次数高达30多次。”期间,也用过很多的药物,但效果不明显,“俗话讲得好,好汉架不住三泡稀,谁能扛得住天天拉稀?尤其半夜里,肚子痛,伴着拉稀,没完没了,想死的心都有了,要早知道你们医生有这本事,管它这名儿好听不好听呢,关键是能救命啊。”

杨炜华博士说,“根据消化内科副主任医师舒荣华的介绍,该患者腹泻情况比较复杂,使用药物后效果不理想,舒荣华凭借临床经验和症状,考虑患者发生了比较复杂的细菌感染,这是反复腹泻及肠道感染的主要原因。”

杨炜华博士解释:由于患者来院之前做过多种治疗,前期治疗使用了大量抗生素治疗,抗生素在杀灭了有害细菌的同时,将肠道内有益菌也收到损害,导致了肠道菌群失衡,最终导致患者出现频繁腹泻的症状。”

将儿子粪便打到肠道

四小时腹泻完全消失

对于这种肠道感染,常规治疗方法是药物治疗,但是,经过检查,患者于先生属于难治性菌群失调症。这种情况下,常规用药起效非常慢,而且容易复发。杨炜华博士介绍说,患者本身的身体状况就很差,于是,我们决定尝试一项新的治疗技术——“粪菌移植”。将于先生儿子的粪便经过处理,打到了于先生的肠道里面,四个小时之后,腹泻完全消失。一天之后,病人痊愈。

杨炜华博士解释说,健康人的粪便菌群是均衡的,通过科学技术将粪便中的细菌进行提取,然后根据患者情况实施粪菌移植,目的就是迅速帮患者建立均衡的肠道菌群,从而起到治疗作用。

对粪菌的提供是要经过专业、细致、严格筛选的。医生们将健康人的粪便经过分离提纯粪菌液后,在常规肠镜检查的过程中,把制作好的粪菌液通过管道沿肠镜钳道注入到肠道中即可。被用于移植的粪菌,此前在微生物实验室中经过严格的程序处理,粪便中一些固体物质被层层过滤,最终留下来的是高纯度菌群,粪便移植的治疗效果非常明显。

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