CAJ | 학술논문

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。
목적　지재탐토Dieulafoy병적진단여치료원칙，이기위해병적진치제공일정림상경험。 방법　8례환자행급진위경11차（3례각위2차），3례행선택성혈관조영각1차，1례재부복탐사술중행위경검사。 결과　① 4례재수차급진위경후즉명학진단；1례재제2차급진위경시발현출혈병조；2례경혈관조영후발현출혈부위；1례재부복탐사술중재경위경검사이학진。② 3례재위경하국부분쇄지혈약、경화제주사、전응등연합치료후지혈성공；1례재혈관조영중경동맥관주약물후지혈；3례경외과단순혈관봉찰술후지혈，1례행위대부절제술후지혈。 결론　Dieulafoy 병가경급진위경화（혹）혈관조영획득조기진단。출혈부위채용약물、전응등치료잉불능지혈자，응진조수술치료。
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.