摘要
目的:分析Dieulafoy病诱发消化道大出血的发病机制,探讨其临床特点及治疗方法。方法:回顾性分析因消化道出血而收治的14例Dieulafoy病患者的临床资料。结果:14中首发表现为呕血伴黑便8例,仅呕血4例。仅黑便2例。14例中内镜治疗9例,其中注射高渗盐水或硬化剂4例,射频治疗3例,内镜下金属夹钳夹止血2例,均立即止血。手术5例,均治愈。所有患者随访1年均无复发。结论:消化道出血是Dieulafoy病的主要临床症状,内镜是诊断和治疗Dieulafoy病的首选方法;对于不能内镜治疗者,手术治疗可彻底解决血管畸形问题,仍为重要治疗手段。
Objective：To study the pathogenesy of bleeding Dieulafoy＇s lesions, and to probe its clinical features and treatment. Methods： Data from patients with upper gastrointestinal bleeding submitted toendoscopy at our hospital from 1998 through 2006 were reviewed for Dieulafoy lesion. Results： Among these 14 patients with gastric Dieulafoy lesion, Bleeding presented as hematemesis and melena in 8 cases （57.1% ）, hematemesis alone in 4 cases（28.6 % ）, and melena alone in the other 2 cases （14.3%）. 9 cases were cured by endoscopic treatment including： injection of sclerosing agent in 4 cases, radio frequency treatment in 3 cases, metal forceps clip haemostasis in 2 cases used. Surgical operation were preformed in other 5 cases. Conclusion：Alimentary tract hemorrhage is the major clinical symptom of Dieulafoy lesion. Therapeutic endoscopy is the first choice of diagnosis and treatment. Operation is also an important choice for the cases that cann＇t be cured by endoscopy. Vascular malformation also can be treated thoroughly by surgery.
出处
《中国临床医学》
北大核心
2007年第4期530-531,共2页
Chinese Journal of Clinical Medicine
