小肠出血性疾病32例分析

Analysis of 32 Cases of Small Intestinal Diseases with Bleeding

目的：探讨小肠出血性疾病的病因，寻求最可行、有效的诊疗手段。方法：总结２１年间收治并经手术治疗和病理学诊断的小肠出血性疾病３２例，就其临床表现、诊断方法、手术治疗及疾病分类进行分析。结果：本组病人仍以肿瘤为多见，其次为血管畸形、憩室炎和炎症性疾病。临床表现分别以大出血、间歇性出血和程度不等的腹痛为多见。肿瘤病人兼有明显的消耗症状。结论：在多种诊断方法中，选择性肠系膜血管造影在诊断上有决定性意义。手术为最合适的治疗手段，可达到去除病灶、彻底止血之目的，但应严格掌握指征。

Objective: To study the causes of small bowel bleeding and seek the most feasible and effective method of diagnosis and treatment. Methods: Thirty-two patients with small intestinal bleeding admitted during the past two decades were analyzed as to the main clinical manifestations, diagnostic methods, and the results of therapy. Results: The most common cause was tumor, followed by vascular malformation, diverticulitis and inflammatory diseases. The most frequent clinical features were severe intestinal bleeding, intermittent bleeding and abdominal pain of varying degree. Patients with tumor usually had consumptive symptoms. Conclusions: Selective mesenteric angiography was the decisive diagnostic measure and surgical intervention is the most effective therapeutic procedure, in which removal of the bleeding foci and complete hemostasis could be achieved.