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肠道血管畸形致消化道出血的诊断和治疗(附21例临床报告)
The clinical and pathological aspects of digestive tract bleeding caused by angiodeformity of the bile duct:report of 21 cases
【摘要】 作者总结了本院1989年至1997年4月收治血管畸形引起消化道出血患者21例,其中18例行选择性腹腔动脉造影检查,16例诊断肠道血管畸形,明确诊断率88.9%,内窥镜检查14例,6例诊断肠道血管畸形,明确诊断率42.8%。进行保守治疗11例,9例止血成功出院,手术治疗9例,9例止血成功出院,内窥镜下电灼止血1例,止血成功出院。对本病的诊断选择性腹腔动脉造影最为优越,治疗上应用药物止血及内窥镜下电灼止血可以达到止血目的,但难以防止复发,本文根据我们的治疗体会,结合文献进行了讨论。
【Abstract】 From 1989 to Apr. 1997, 21 patients were admitted for gastrointestinal bleeding caused by binary angiodeformity. Diagnosis was made in 16 out of 18 undergoing selective celiac angiography with the occuracy rate of 88. 9%. Endoscopy found the deformity in 6 out of 14 (42. 8%). Bleeding stopped in 9 of 11 treated conservatively. Surgery was successful in all 9 cases,and endoscopic cautery successfully stopped the bleeding in the remaining one. The authors came to the conclusion that selective celiac angiography was most useful for the diagnosis. Drug therapy and endoscopic cautery effect only temporary hematostasis.
【Key words】 Telangiectasia hereditary hemorrhagic Gastrointestinal hemorrhage Hemangioma capillary;
- 【文献出处】 中华普通外科杂志 ,Chinese Journal of General Surgery , 编辑部邮箱 ,1997年05期
- 【分类号】R656.7
- 【被引频次】3
- 【下载频次】61