CAJ | 학술논문

目的：总结结肠血管扩张症合并出血的临床特点。方法回顾性分析2007年1月至2014年8月于北京友谊医院住院诊断为结肠血管扩张症合并出血患者的病例资料。结果14例结肠血管扩张症合并出血患者男性4例，女性10例，平均年龄69.1岁。临床表现以反复便血为主，伴不同程度失血性贫血。腹部体格检查多无阳性体征。14例病例均经结肠镜确诊，扩张血管多位于回盲部或右半结肠，也可散在或弥漫分布。对伴有活动性出血的结肠血管扩张予内镜下氩等离子凝固术治疗或钳夹止血，预后良好。结论结肠血管扩张症是老年人复发性下消化道出血的常见病因，临床表现以反复便血为主，结肠镜是确诊的主要方法，对伴活动性出血者可予内镜下氩等离子凝固术或钳夹止血治疗。
목적：총결결장혈관확장증합병출혈적림상특점。방법회고성분석2007년1월지2014년8월우북경우의의원주원진단위결장혈관확장증합병출혈환자적병례자료。결과14례결장혈관확장증합병출혈환자남성4례，녀성10례，평균년령69.1세。림상표현이반복편혈위주，반불동정도실혈성빈혈。복부체격검사다무양성체정。14례병례균경결장경학진，확장혈관다위우회맹부혹우반결장，야가산재혹미만분포。대반유활동성출혈적결장혈관확장여내경하아등리자응고술치료혹겸협지혈，예후량호。결론결장혈관확장증시노년인복발성하소화도출혈적상견병인，림상표현이반복편혈위주，결장경시학진적주요방법，대반활동성출혈자가여내경하아등리자응고술혹겸협지혈치료。
Objective To summarize the clinical features of hemorrhagic colonic vascular ectasia. Methods Retrospectively analyze the clinical data of hospitalized patients who were diagnosed as hemorrhagic colonic vascular ectasia in Beijing friendship hospital from January,2007 to August,2014. Results Four male and 10 female patients were included in the study with average age of 69. 1. The patients presented mainly with recurrent overt or occult gastrointestinal bleeding,as well as blood loss anemia. There were almost no positive signs in their abdominal physi_cal examinations. All cases were diagnosed by colonoscopy. Most of the lesions were detected in the cecum or right colon,while some lesions were scattered or diffuse distributed in the colon. The bleeding lesions could be controlled by argon plasma coagulator( APC)or clamps under endosco_py with good prognosis. Conclusion Colonic vascular ectasia is a common cause of recurrent lower gastrointestinal bleeding in the elderly. The patients presented mainly with recurrent overt or occult gastrointestinal bleeding. Colonoscopy is a good choice for diagnosis. The bleeding lesions can be controlled by APC or clamps under endoscopy.