摘要
Dieulafoy病属先天性病变,又称胃黏膜下恒径动脉破裂出血,以无先兆突发上消化道大出血为特征。病因是由于胃壁血管(多为胃左动脉分支)进入胃黏膜下后,不是逐渐变细形成毛细血管而是一直保持管径不变,凸出于胃壁,在食物和胃液作用下破裂出血。1898年由法国医生Geoyges报道7例健康人突发致命性消化道大出血而命名。Dieulafoy病特点是出血凶猛、突然,病死率高,内镜下止血为首选的诊断和治疗方法。本文报道2例Dieulafoy病,旨在为临床医师对该病的诊治提供参考。
Dieulafoy disease is a congenital lesions and gastric mucosa under the constant diameter of artery rupture, with no sign of sudden massive hemorrhage of upper gastrointestinal tract characteristics. The etiology is due to stomach vascular (mostly left gastric artery branch ) in gastric mucosa after, not tapering form capillaries but keep diameter unchanged, protruding from the stomach, bleeding in food and gastric function. In 1898 by the French doctor Geoyges reported 7 cases of healthy people of sudden fatal gastrointestinal bleeding and named. Dieulafoy disease is characterized by bleeding fierce, all of a sudden, high mortality rate, endoscopic hemostasis for diagnosis and treatment of the preferred method.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第12期1417-1418,共2页
Chinese General Practice
关键词
DIEULAFOY病
恒径动脉
胃肠出血
胃镜检查
Dieulafoy disease
Constant diameter of artery
Gastrointestinal hemorrhage
Gastroscopy