摘要
探讨下消化道出血的早期诊断。主要经常规小肠钡餐、小肠气钡双重造影、动脉造影（其中７例通过动脉导管放入钢丝标记）、核素扫描、纤维结肠镜等单项或多项检查，最终经手术和病理确诊。８３８％病变位于空、回肠，１６２％位于结、直肠。血管畸形占３５０％，小肠平滑肌肿瘤占２６２％。各科医生密切配合、合理掌握各种诊断手段适应证和时机可望早期诊断下消化道出血。经动脉导管放置钢丝标记出血部位有益术中找出病灶所在肠段。
To explore an early diagnosis of lower gastrointestinal bleeding.Each patient had at least one,and often mor investigations that were routine small bowel Xray series,enteroclysis doublecontrast study,angiography,nuclear scans,colonoscopy and others.During angiograpy a piece of wire was installed to mark the bleeding site for 7 patients.At last all patients were treated surgically,confirmed pathologically.Bleeding site in jejunum and/or ileum are the most common accounting for 83 8% of cases.Bleeding in colon and/or rectun account for 16 2% of cases.Vascular malformations are the most common cause of lower gastrointestinal bleeding accounting for 35 0% of cases.Leiomyoma of the small bower account for 26 2% of cases.If the doctors of the different departments cooperate closely,have a profound grasp of the indications and appropriate timing of various examinations,an early diagnosis of lower gastrointestinal bleeding would be made.We suggest that during angiography a piece of wire be installed to mark a bleeding site that allows the surgeon to identify the relevant segment of intestine and to palpate the bleeding site in operation.
出处
《中国实用外科杂志》
CSCD
北大核心
1998年第4期217-218,共2页
Chinese Journal of Practical Surgery
关键词
血管造影术
下消化道出血
早期诊断
hemorrhage,gastrointestinal arteriovenous malformations intestinal,small angiography diagnosis
