| 沈志祥,罗和生,沈磊,谭诗云,俞菊芳,童仕伦,于皆平.Dieulafoy病致上消化道大出血的诊断和治疗 (附8例临床报告)[J].中国医学影像技术,2001,17(2):170~171 |
| Dieulafoy病致上消化道大出血的诊断和治疗 (附8例临床报告) |
| Diagnosis and Therapy of Upper Gastrointestinal Large Hemorrhage from 8 Patients with Dieulafoy Disease |
| 投稿时间：2000-11-11 |
| DOI： |
| 中文关键词: Dieulafoy病 急诊胃镜 血管造影 |
| 英文关键词:Dieulafoy diseses Gastroscopy Angiography |
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| 中文摘要: |
| 目的 旨在探讨Dieulafoy病的诊断与治疗原则,以期为该病的诊治提供一定临床经验。 方法 8例患者行急诊胃镜11次(3例各为2次),3例行选择性血管造影各1次,1例在剖腹探查术中行胃镜检查。 结果 ① 4例在首次急诊胃镜后即明确诊断;1例在第2次急诊胃镜时发现出血病灶;2例经血管造影后发现出血部位;1例在剖腹探查术中再经胃镜检查而确诊。② 3例在胃镜下局部喷洒止血药、硬化剂注射、电凝等联合治疗后止血成功;1例在血管造影中经动脉灌注药物后止血;3例经外科单纯血管缝扎术后止血,1例行胃大部切除术后止血。 结论 Dieulafoy 病可经急诊胃镜和(或)血管造影获得早期诊断。出血部位采用药物、电凝等治疗仍不能止血者,应尽早手术治疗。 |
| 英文摘要: |
| Objective To evaluate principle of diagnosis and therapy of Dieulafoy disease. Methods 8 cases were examined by emergency gastroscopy with 11 times including one case in the course of surgery operation. 3 cases of those were examined by angiography. Results ① 4 cases were diagnosed in the first emergency gastroscopy; 1 case was diagnosed in the second time; 2 cases were found in selective angiography; 1 case was diagnosed by emergency gastroscopy in the course of surgercy operation. ② 3 cases were stopped bleeding by local treatment which includes the combinations of spraying haemostatic,injecting hardener and high frequency electrocoagulation. 1 case was stopped bleeding by pouring haemostatic into the artery in the examination of angiography. 4 cases were stopped bleeding by surgery. Conclusion Dieulafoy disease can early be achieved emergency gastroscopy and selective angiography.Failed local treatment of gastroscopy,surgery should be performed as early as possible. |
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