小肠出血临床分析

Clinical analysis of small intestinal hemorrhage

目的 探讨小肠出血的诊断及治疗措施。方法 作者回顾分析自 1 979～ 2 0 0 0年收治的小肠出血性疾病 4 5例 ,均经单项或多项检查手段及手术探查证实。结果 采用动脉造影、核素扫描、小肠钡灌、小肠镜等手段发现良性疾病 38例 ,恶性疾病 7例。肿瘤占小肠出血比例最大。结论 血管造影具有较高的诊断率 ,并对手术有重要的指导价值。本组血管造影 2 0例 ,1 5例阳性。对诊断不清 。

Objective To study the diagnosis and treatment of small intestinal hemorrhage.Methods Forty five cases of small intestinal hemorrhage treated in two hospitals from 1979～2000 were reviewed. The role of various diagnostic methods for small intestinal hemorrhage was confirmed by digital subtraction angiography (DSA)/emission computed tomagraphy (ECT)/enteroclysis and surgery. Thirty eight cases of small intestinal hemorrhage were caused by benign diseases and 7 by malignant diseases. Tumor was the most common cause of small intestinal hemorrhage.Conclusion The accuracy of DSA in diagnosing small intestinal hemorrhage was high. DSA was done in 20 cases and the positive rate was 75 %. Primary treatment includes surgery, interventional radiology, endoscopic treatment. Intestinal segmentectomy should not be considered if the bleeding focus could not be found and bleeding not too much.