摘要
目的 :探讨胃Dieulafoy病的内镜诊断和治疗方法。方法 :回顾性分析作者自 1994年 1月～ 2 0 0 2年 6月经内镜诊断和治疗胃Dieulafoy病的临床资料。结果 :12例均在入院后 2h之内行急诊内镜检查 ,经一次检查确诊 10例 ,二次检查确诊 2例。经内镜局部喷洒 0 .1%去甲肾上腺素治疗博动性出血 3例 ,仅 1例暂时止血约 12h后再出血。电凝治疗 11例均止血成功。结论 :急诊内镜是诊断胃Dieulafoy病的最佳手段 ,浅表溃烂伴博动性或喷射状出血是内镜诊断的主要依据 ,单独的暗红色血痂或黑褐小隆起是内镜诊断的重要线索。经内镜局部喷洒止血药疗效不佳 。
Objective:To investigate the endoscopic diagno sis and treatment of Dieulafoy' s disease.Methods:The clinical data of Dieulafoy's disease patients from January 1994 to June 2002 were analyzed retrospectively.Results:Of 12 cases, all experienced endoscopic examination 2 h ours in hospital, 10 cases were diagnosed once, 2 cases were diagnosed after examination more. Endoscopic local spraying of 0.1% noradrenalin was p erformed in 3 cases with pulsing bleeding, which only 1 case stopped bleeding te mporarily and bleed again 12 hours later. Hemorrhage stopped successfully after high frequency electrocoagulation in 11 cases.Conclusions:Emegency endoscopic examination is the best way to d iagnose Dieulafoy's disease. Surface ulcer with pulsing or spouting bleeding is the main diagnosis evidence, single wine blood scab or black-brown small bump is important endoscopic diagnosis clue. Electrocoagulation is effectiv e therapy while endoscopic local spraying of hemostat doesn't work well.
出处
《中国内镜杂志》
CSCD
2003年第9期19-20,共2页
China Journal of Endoscopy
关键词
胃DIEULAFOY病
出血
内镜
电凝
治疗
Dieulafoy's Disease
Hemorrhage
Endoscopy
Electroc oagulation
Therapy
