摘要
对１０３例已确诊的出血性小肠疾病病例，从病因分类、出血量、出血部位及诊断程序等方面进行分析。结果：在病因分类上以感染性疾病为主（７３／１０３），与国内同仁报道有别。次为良、恶性肿瘤（２０／１０３），再次为小肠憩室（７／１０３）和其他罕见病种（３／１０３）。而出血量与病种关系方面，少量者占７７％，其中以感染性疾病和各类肿瘤为主。中等量占２０％，包括小肠憩室，延误治疗的感染性疾病。大出血者占３％，它们是误诊的肠伤寒和憩室病。在病灶定位方面，上段者占２２％，多为各类肿瘤。下段者占７８％，包括大量感染性疾病及憩室病。至于诊断程序方面，首先应在认真排除各类感染性疾病的前提下，着重对小肠憩室、各种肿瘤和血管畸形加以鉴别。
A retrospective analysis of l03 cases of hemorrhage of the smallintestine revealed
the underlying diseases to be infectious origin in 73, benign andmalignant tumors in 20,
diverticulum of small intestine in 7 and rare diseases in 3.Thequantity of bleeding was small in
77%, with the underlying cause being infectiousdiseases and tumor, moderate in 20%,the
underlying cause being diverticulum andinfectious disease with delayed treatment,and
massive in 3%,the underlying causebeing typhoid fever and diverticulum. 22%of patients with
hemorrhage in the upperportion of small intestine had tumours of various types, while 78%were
in the lowerportion of small intestine. In conclusion:disease of infectious origin should
beconsidered first selective abdominal angiography and ECT would be preformed after
athorough history and endoscopic examination and if the above could be excluded.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1996年第2期69-71,共3页
Chinese Journal of Digestion
关键词
小肠出血
出血
诊断
临床分析
Gastrointestinal hemorrhage Intestine, small Hemorrhage/diagnosis
