摘要
目的 探讨上消化道 Dieulafoy病的诊断和治疗方法。方法 回顾性分析自 1993- 0 1～ 2 0 0 2 - 0 1收治的 13例 Dieulafoy病的临床资料。结果 Dieulafoy病发生于胃底 7例 ,胃体近贲门小弯侧 3例 ,大弯侧 1例 ,十二指肠球部 1例 ,十二指肠降部 1例。主要表现为突发间歇性大量呕血、黑便和休克。 13例均通过急诊胃镜检查确诊 ,其中术后病理证实 2例。13例均行内镜下止血治疗 ,止血 11例 ,2例胃底 Dieulafoy病镜下止血失败转外科手术。结论 出血后尽快急诊胃镜检查是确诊本病的首选方法。治疗上可先行内镜下止血治疗 ,内镜止血后仍反复出血 ,特别是病灶位于胃底者 。
Objective To investigate the diagnostic and treatment procedures of Dieulafoy Lesion.Method The clinical data of 13 patients with Dieulafoy lesion,admited and treated during the past 6 years,were analysed retrospectively.Results 7 hemorrhagic lesions were located in the fundus of stomach,4 in the body of stomach close to cardial part and lesser curvature,lager curvature,1 in duodenal buld,1 in descending duodenum.The main manifestations were abrupt,intermittent hematemesis,melena and shock.All 13 cases were diagnosed by emergency endoscopy,2 of which were verified by postoperative pathology.All cases underwent therapy of endoscopic hemostasis with 11 success and 2 failure.Conclusion Emergency endoscopy was the first choice to diagnose this disease.Endoscopic hemestasis should be taken initially,and surgical operation should be done if endoscopic hemestasis failed.
出处
《中国误诊学杂志》
CAS
2002年第6期839-841,共3页
Chinese Journal of Misdiagnostics
