中国医药
中國醫藥
중국의약
CHINA MEDICINE
2008年
4期
209-210
,共2页
Dieulafoy病%上消化道出血
Dieulafoy病%上消化道齣血
Dieulafoy병%상소화도출혈
Dieulafoy%Gastrointestinal hemorrhage
目的 探讨Dieulafoy病的临床特点、诊断与治疗方法.方法 回顾性分析16例Dieulafoy病伴消化道出血患者的临床资料.结果 首发症状均为突发上消化道大出血.胃镜检查16例,确诊12例,首次确诊率50%;数字减影血管造影(DSA)检查4例,确诊2例,手术探查确诊2例.胃镜下止血治疗12例,成功10例,失败2例,再出血2例,再行胃镜下止血,1例成功,1例失败行手术治疗.选择性血管栓塞治疗2例均成功,但其中1例2个月后再次出血;手术治疗6例,成功6例,均无复发.结论 胃镜检查治疗是Dieulafoy病首选的诊断治疗方法,胃镜检查阴性或治疗失败可行DSA检查或选择性血管栓塞治疗,以上治疗失败或反复出血者应手术治疗,手术是彻底、有效的治疗方法.
目的 探討Dieulafoy病的臨床特點、診斷與治療方法.方法 迴顧性分析16例Dieulafoy病伴消化道齣血患者的臨床資料.結果 首髮癥狀均為突髮上消化道大齣血.胃鏡檢查16例,確診12例,首次確診率50%;數字減影血管造影(DSA)檢查4例,確診2例,手術探查確診2例.胃鏡下止血治療12例,成功10例,失敗2例,再齣血2例,再行胃鏡下止血,1例成功,1例失敗行手術治療.選擇性血管栓塞治療2例均成功,但其中1例2箇月後再次齣血;手術治療6例,成功6例,均無複髮.結論 胃鏡檢查治療是Dieulafoy病首選的診斷治療方法,胃鏡檢查陰性或治療失敗可行DSA檢查或選擇性血管栓塞治療,以上治療失敗或反複齣血者應手術治療,手術是徹底、有效的治療方法.
목적 탐토Dieulafoy병적림상특점、진단여치료방법.방법 회고성분석16례Dieulafoy병반소화도출혈환자적림상자료.결과 수발증상균위돌발상소화도대출혈.위경검사16례,학진12례,수차학진솔50%;수자감영혈관조영(DSA)검사4례,학진2례,수술탐사학진2례.위경하지혈치료12례,성공10례,실패2례,재출혈2례,재행위경하지혈,1례성공,1례실패행수술치료.선택성혈관전새치료2례균성공,단기중1례2개월후재차출혈;수술치료6례,성공6례,균무복발.결론 위경검사치료시Dieulafoy병수선적진단치료방법,위경검사음성혹치료실패가행DSA검사혹선택성혈관전새치료,이상치료실패혹반복출혈자응수술치료,수술시철저、유효적치료방법.
Objective To observe the clinic features,diagnosis and treatment of Dieulafoy.MethodsSixteen cases of Dieulafoy complicated with gastrointestinal bleeding were retrospectively analyzed.Results Thefirst occurring symptom was massive gastrointestinal hemorrhage.12 of 16 cases who received gastroscopy wereconfirmed of diagnosis.2 of 4 cases who took digital subtraction angiography(DSA)and 2 cases taking operationsalso had confirmed diagnosis.10 of 12 cases who were treated by endoscopy,2 cases taking embolization throughDSA and 4 cases who were operated were cured.Conclusion Gastroscopy examination is the most effective methodfor Dieulafoy.
