摘要
目的回顾性分析Dieulafoy病内镜诊断及临床治疗特点。方法总结医院7例Dieulafoy病临床资料。结果全部病例均以突发上消化道大出血为临床表现;初次胃镜确诊5例,二次或以上确诊者2例;病变多见于食道与胃连接部6cm范围内,4例经胃镜止血成功,2例经药物止血成功,1例转外科手术止血成功。结论急诊胃镜是诊断Dieulafoy病首选方法,内镜下止血不成功者,应立刻手术治疗。
Objective To draw a retrospective analysis of endoscopic diagnosis and therapy of Dieulafoy disease. Methods The clinical datas of 7 cases with Dieulafoy disease were summarized. Results All cases appeared as abrupt upper gastrointestinal bleeding,5 cases were diagnosed at first and 2 cases were found at second or more endoscopic examination. Most of them were located in the range of 6 cm below gastroesophageal junction. Hemorrhage stopped successfully under endoscopic treatment in 4 cases and drug therapy in 2 cases,respectively. One case was cured by surgical operation. Conclusion Emergency endoscopic examination is the best way to diagnose Dieulafoy disease. If hemorrhage fails to stop after endoscopic treatment,surgical operation should be performed as early as we can.
出处
《临床医学工程》
2010年第10期80-81,共2页
Clinical Medicine & Engineering
