CAJ | 학술논문

目的探讨小肠出血的病因、诊断与治疗.方法回顾性分析2000年1月至2010年6月我院收治的68例小肠出血患者的临床资料.68例小肠出血患者中4例行肠镜下止血治疗；40例行开腹手术；24例行腹腔镜治疗,其中行小肠部分切除术57例,完全腹腔镜下憩室切除7例.结果小肠出血原因主要以肿瘤为首,占48.5％( 33/68)；其次为小肠憩室占29.4％( 20/68),小肠炎症占14.7％( 10/68),血管病变占7.4％ (5/68).所有患者经治疗后均痊愈出院.结论小肠出血的临床表现无特异性,小肠肿瘤、小肠憩室及炎症是其常见原因,术中肠镜检查可确诊小肠出血.外科手术是小肠出血最有效的治疗方法.
목적 탐토소장출혈적병인、진단여치료.방법 회고성분석2000년1월지2010년6월아원수치적68례소장출혈환자적림상자료.68례소장출혈환자중4례행장경하지혈치료；40례행개복수술；24례행복강경치료,기중행소장부분절제술57례,완전복강경하게실절제7례.결과 소장출혈원인주요이종류위수,점48.5％( 33/68)；기차위소장게실점29.4％( 20/68),소장염증점14.7％( 10/68),혈관병변점7.4％ (5/68).소유환자경치료후균전유출원.결론 소장출혈적림상표현무특이성,소장종류、소장게실급염증시기상견원인,술중장경검사가학진소장출혈.외과수술시소장출혈최유효적치료방법.
Objective To investigate the causes,diagnosis and treatment of small intestine bleeding.Methods Sixty-eight cases of small intestine bleeding from January 2000 to June 2010 were retrospectively analyzed.Among all cases,4 underwent routine hemostatic treatment under colonoscopy,40treated with open surgery and 24 patients with laparoscopic therapy.Among them,57 cases underwent part resection for some small intestine,completely laparoscopic resection of diverticula was performed in 7patients.Results Neoplasms was the leading cause of small intestine bleeding,accounting for 48.5％ (33/68)in these patients,followed by small intestine diverticulum accounted for 29.4％ ( 20/68 ),intestinal infective diseases accounted for 14.7％ ( 10/68 ) and vascular disease accounted for 7.4％ ( 5/68 ).Conclusion The clinical manifestations of small intestinal bleeding showed no specific signs.Neoplasm,intestine diverticulum and intestinal infective diseases are the most common causes of small intestinal bleeding.Small intestinal bleeding can be diagnosed in intraoperative colonoscopy.Surgery is the most effective treatment for small intestinal bleeding.