摘要
目的总结急性下消化道出血的诊治经验。方法对２９例急性下消化道出血的病因、诊治进行回顾性分析。结果（１）本组急性下消化道出血中，结肠出血最多，结肠出血原因中，血管畸形为最多。（２）本组病例６５５％经保守治疗出血停止，急诊手术率３１０％。（３）本组病例手术后９０５％出血停止，未再复发。结论（１）急性下消化道出血的病因诊断，静止期以纤维结肠镜为首选，出血期以选择性动脉造影为首选。（２）对经保守治疗出血不止的病例，应积极行出血期检查与紧急手术探查。
Objective\ To summarize the experience of diagnosis and treatment of acute lower gastrointestinal bleeding.Methods\ 29 patients with acute lower gastrointestinal bleeding were retrospectively viewed.Results\ (1)Bleeding in colon are the most common cases in our date.Vascular malformations are the most common cases of bleeding in colon.(2)Bleeding was controlled by conservative treatment in 65 5% cases and emergent laparotory were undergone in 31 0% cases.(3)Bleeding was halted after operation in 90 5% cases.Conclusion\ (1)During bleeding interval patients should be evaluated firstly by colonoscopy,and during active bleeding should be evaluated firstly by angiography.(2)Those with lethalmassive bleeding,emergent evaluation and emergent laparotomy should be undertaken.(3)Surgeon should pay more attention to intestinal vascular malformation.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第2期84-86,共3页
Chinese Journal of Practical Surgery
关键词
急性
下消化道出血
诊断
外科手术
Acute lower gastrointestinal bleeding\ Emergent laparotomy\ Intestinal vascular malformation
