【摘要】 目的 :提高对Dieulafoy病的早期诊断率及探讨对其合适的治疗方法。方法 :回顾性分析本院 1 984年 1月至 1 999年 6月收治的 8例Dieulafoy病患者的临床资料。 结果 :占同期上消化道大出血的 1 .9% ( 8/4 2 1 )。胃镜确诊 3例 ,手术探查确诊 5例。胃镜局部注射硬化剂止血 2例 ,其中 1例 6h后再次出血中转手术。手术治疗7例 ,行破裂血管缝扎术 3例 ,胃局部楔形切除术 3例 ,近端胃部分切除术 1例。 8例中 7例治愈 ,1例术后死于多器官功能衰竭。病死率为 1 2 .5% ( 1 /8)。结论 :掌握Dieulafoy病的特点 ,提高早期诊断率和及时手术处理非常重要。术式以胃局部楔形切除和破裂血管缝扎术较为实用。更多还原

【Abstract】 Objective:To improve early diagnosis rate and choose appropriate treatment for the dieulafoy disease. Methods:clinical data of 8 dieulafoy disease cases collected from Jan.1984 to Jun.1999 were analysed retrospectively.Results:The rate of the dieulafoy disease cases was 1.9 percent of all the upper digestive tract hemorrhage cases(421 cases) of the corresponding period.3 of the 8 cases were diagnosed confirmedly by gastrofiberscope,and the other 5 cases by exploratory laparotomy.2 of the 8 cases were treated with sclerosing agent injection under gastrofiberscope,and one of them hemorrhaged again 6 hours after the injection and was continued to be treated with surgical operation, 7 of the 8 cases accepted surgical treatment,3 of them accepted vessel ligation by suturing,3 cases accepted wedge gastrectomy,and the other one accepted proximal gastrectomy.7 of the 8 cases were cured through the above treatments and the other one died of multiple organ failure(MOF),and the fatality rate was 12.5%(1/8).Conclusion:Being familiar with clinical characteristics of the dieulafoy disease is the basis of the corresponding diagnoses and treatments.Surgical operation is the main method to treat for the disease,and wedge and proximal gastrectomy are the appropriate operative styles.更多还原