急性下消化道出血的诊断

Diagnosis of acute hemorrhage of lower digestive tract

目的总结急性下消化道出血的诊断方法。方法对过去10年该院治疗的110例急性下消化道出血病例的病因及定位诊断措施进行分析。结果110例急性下消化道出血病例中,出血原因依次为结肠息肉、结肠肿瘤、炎症性肠病、血管畸形、小肠肿瘤等。检查方法中结肠镜使用次数最多,占62.4%,血管造影阳性率最高达70.0%。结论下消化道出血的定位诊断较重要,首选结肠镜检查,在大出血情况下,可考虑急诊手术探查。

Objective:To study the diagnosis methods of acute hemorrhage of lower digestive tract.Meth-ods:In past10years,110cases of actue hemorrhage of lower digestive tract were treated in our hospital.To analyse the etiological diagnosis and the localigation diagnosis in these110cases.Results:Among these cas-es,the bleeding causes were colon polypus,colon tumor,inflammatory enteropathy,vessel deformity,small in-testine tumor in turn.Colonscopy was most often used(62.4%),angiography had the highest positive rate(70.0%).Conclusions:The localigation diagnosis of acute hemorrhage of lower digestive tract was more im-portant.The first choice was colonoscopy.When massive hemorrhage happened,emergency operative exploration should be considered.