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专家:粪便有神奇疗效 粪菌移植可治病--亲稳网络舆情监测室
2012-11-01
中新网南京10月31日电(盛捷)31日,记者从南京医科大学第二附属医院获悉,该院消化医学中心副主任医师张发明开展粪菌移植的技术,让曾经患克罗恩病,解粘液脓血样大便并伴有腹痛8年的患者摆脱病痛。
Beijing on October 31, nanjing(ChengJie)31,Reporters from nanjing medical university of the second affiliated hospital,Medical center hospital digestion of doctor of vice director of ZhangFaMing in fecal bacteria transplant technology,Let once with crohn's disease,Solution mucous purulent blood sample shit with abdominal pain 8 years of patients get rid of the pain.
35岁的闵先生,解粘液脓血样大便并伴有腹痛8年,曾在多家医院诊断为克罗恩病,伴有肛瘘、肛门狭窄形成。之后来南京医科大学第二附属医院消化医学中心副主任医师张发明处就诊。
35 years old Mr. Downtown,Solution mucous purulent blood sample shit and abdominal pain with 8 years,Worked in many hospitals diagnosis for crohn's disease,With anal fistula/Anal stricture formation.Come to nanjing medical university after the second affiliated hospital digestion of doctor of vice director of medical center ZhangFaMing place to see a doctor.
张发明介绍,当时用直径只有8毫米的小直径胃镜代替肠镜,进入其大肠见到大量假息肉、溃烂,这是一种终生可控但是不可治愈的疾病。虽说采用了国际上公认的标准方案,但患者仍然反复发生腹痛,有时甚至因为疼痛无法入睡。
ZhangFaMing introduced,At that time only 8 mm in diameter of small diameter gastroscope instead of colonoscopy,In the large intestine to see a lot of false polyp/fester,This is a lifelong controlled but an incurable disease.Though adopted international recognized standard solution,But patients still recurring abdominal pain,Sometimes even because pain can't fall asleep.
病人出院后不久,张发明赴美学习时开展粪菌移植的技术用于常规治疗无效的疑难性肠道疾病。张发明联系闵某告知其这种方案,闵某很快就同意了。10月中旬,张发明先向医院伦理委员会递交了一套自己写好的粪菌移植伦理学文案,严格为粪菌移植做准备。10月25日他将制备好的菌液,通过管道沿胃镜钳道注入到病人中消化道时,顺利完成了粪菌移植,粪菌则来源于病人10岁的儿子。奇迹在术后3小时便开始出现了:腹痛明显消失了,术后12小时,病人几乎没有任何症状了。据了解,移植后2天,患者的精神良好,无任何腹痛、腹部不适,原来的脓血样并伴有“鼻涕”样的大便也没有了。
Shortly after the patient will be discharged,ZhangFaMing learning to carry out fecal bacteria transplantation technique for the conventional therapies difficult sex intestinal disease.ZhangFaMing contact MinMou told that their this scheme,MinMou quickly agreed.In the middle of October,ZhangFaMing first hospital ethics committee to submit a set of write their own good fecal bacteria transplantation ethics copy,Strictly to prepare for fecal bacteria transplantation.On October 25, he will preparation good bacteria liquid,Through the pipeline along the gastroscope forceps way into patients in the digestive tract,Successfully completed the fecal bacteria transplantation,Fecal bacteria from the patient is 10 year old son.Miracle in postoperative 3 hours began to appear:Abdominal pain obviously disappeared,Postoperative 12 hours,The patient is almost no symptoms.It is understood,2 days after transplantation,The spirit of the patients with good,Without any abdominal pain/Abdominal discomfort,The original purulent blood sample and accompanied by"nose"Kind of shit is not.
粪菌移植是指将健康人粪便中的功能菌群,移植到患者胃肠道内,重建具有正常功能的肠道菌群,实现肠道及肠道外疾病的诊疗。“事实上,记载中国医学史上第一例粪菌移植的不是我和我的同事们,因为至少1700年,我们伟大的祖先早就做了,东晋时期葛洪所编著的《肘后方》已为后人留下了重要的文献记录”,张发明说,在现代医学中,从1958年以来,在美国、澳大利亚、欧洲等西方国家和地区,已经有数千例粪菌移植病例。
Fecal bacteria transplantation refers to the function of flora healthy feces,Transplantation to patients in the gastrointestinal tract,Reconstruction with normal function of intestinal flora,To realize the intestinal tract and bowel disease diagnosis and treatment."In fact,Chinese medical history records the first case of fecal bacteria transplantation is not my colleagues and I,For at least 1700 years,Our great ancestors did,The eastern jin dynasty period of the ge hong,[Elbow rear]For later generations has left an important literature record",ZhangFaMing said,In modern medicine,Since 1958,In the United States/Australia/Europe and other western countries and regions,Have thousands of cases of fecal bacteria transplantation cases.
对于粪菌移植,张发明强调,移植的是粪便中的细菌,而非粪便,使用最多、最受公认的名词是“粪菌移植”。张发明也说出了面临的困难:“在美国,一次粪菌移植的费用大约7000美元,但在国内医疗收费系统里没有相应的收费项目,这也限制粪菌移植在国内的发展。并且现在找到合格的捐粪者并非易事,要找到优质的粪便更难。比如野游史、肛交、同性恋的人不合格,尽管抽血化验正常,处于检查不出的‘窗口期’的风险高。”(完)
For fecal bacteria transplantation,ZhangFaMing emphasize,Transplantation is the faeces of bacteria,Rather than waste,Use the most/The most popular noun is recognized"Fecal bacteria transplantation".ZhangFaMing also tell the difficulties:"In the United States,A fecal bacteria transplantation costs about 7000 dollars,But in domestic medical charge system there is no corresponding charging projects,It also limits fecal bacteria transplantation in China.And now to find qualified donate dung that was not easy,To find high quality waste more difficult.Such as wild swim history/Anal sex/Gay people don't qualified,Although exsanguinate assay normal,In the examination‘Window period’Higher risk of."(finish)
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