医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
28期
256-257
,共2页
小肠出血%诊断%治疗
小腸齣血%診斷%治療
소장출혈%진단%치료
Intestinallbleeding%Diagnosis%Treatment
目的：探讨小肠出血的诊治方法。方法回顾性分析我科2009年1月~2013年6月共收治小肠出血7例的患者的临床资料。结果7例患者中，2例内科保守治疗成功，其中1例病因不详，另1例考虑为药物引起的小肠粘膜病变，均未再出血。手术治疗5例，4例为小肠肿瘤，1例为小肠憩室，均行小肠部分切除术，术后患者恢复良好。结论小肠出血的术前诊断较为困难，肿瘤是小肠出血的常见原因；螺旋CT、小肠镜、胶囊内镜、选择性肠系膜血管造影可提高小肠出血的诊断率；对出血原因不明，出血难以控制或反复出血的患者，应积极手术治疗。
目的：探討小腸齣血的診治方法。方法迴顧性分析我科2009年1月~2013年6月共收治小腸齣血7例的患者的臨床資料。結果7例患者中，2例內科保守治療成功，其中1例病因不詳，另1例攷慮為藥物引起的小腸粘膜病變，均未再齣血。手術治療5例，4例為小腸腫瘤，1例為小腸憩室，均行小腸部分切除術，術後患者恢複良好。結論小腸齣血的術前診斷較為睏難，腫瘤是小腸齣血的常見原因；螺鏇CT、小腸鏡、膠囊內鏡、選擇性腸繫膜血管造影可提高小腸齣血的診斷率；對齣血原因不明，齣血難以控製或反複齣血的患者，應積極手術治療。
목적：탐토소장출혈적진치방법。방법회고성분석아과2009년1월~2013년6월공수치소장출혈7례적환자적림상자료。결과7례환자중，2례내과보수치료성공，기중1례병인불상，령1례고필위약물인기적소장점막병변，균미재출혈。수술치료5례，4례위소장종류，1례위소장게실，균행소장부분절제술，술후환자회복량호。결론소장출혈적술전진단교위곤난，종류시소장출혈적상견원인；라선CT、소장경、효낭내경、선택성장계막혈관조영가제고소장출혈적진단솔；대출혈원인불명，출혈난이공제혹반복출혈적환자，응적겁수술치료。
Objective To research the diagnosis of treatment of intestinallbleeding. Methods A retrospective analysis was conducted which about 7 cases of intestinallbleeding from January 2009 to June 2013 who were treated in out department. Results 2 patients through conservative treatment successed,the cause of 1 patient was unknown,and the other considered as drug-induced intestinallmucosallinjury. 5 patients were treatedd by surgery,4 cases of intestinalltumors,1 case of intestinalldiverticula,allunderwent partiallintestinallresection and recovered well. Conclusion The preoperative diagnosis of intestinallbleeding is dif icult.Tumor is a common cause of intestinallbleeding.CT,Enteroscopy capsule endoscopy,DSA can improve the rate of intestinallbleeding's diagnosis. Surgery is needed toward the patient who's intestinallbleeding is unknown and dif icult to control.
