摘要
Dieulafoy病（Dieulafoy＇s disease）又称Dieulafoy病变（Dieulafoy＇s lesion）,是引起致命性消化道大出血的少见原因之一,发生率低,仅占急性上消化道出血患者的1%-5.8%,但由于病灶小,出血位置隐匿,病死率高。
Two cases of massive bleeding from Dieulafoy＇s lesion of the descending part of duodenum initially by failed endoscopic treatment in our hospital were retrospectively analyzed,in order to evaluate the efficacy of transcatheter superselective arterial embolization of massive bleeding from Dieulafoy＇s lesion of the descending part of duodenum initially by failed endoscopic treatment.The two cases were initially treated endoscopically with epinephrine injection and endoscopic hemoclips,but failed due to massive bleeding from Dieulafoy＇s lesion of the duodenum,angiography was requested for possible embolization,and the two cases were successfully treated by transcatheter superselective arterial embolization.The follow up time was 15 months.No patients had recurrent bleeding due to Dieulafoy＇s lesion.Angiography and embolization were considered as a valuable alternative for failure of therapeutic endoscopic interventions.
出处
《临床急诊杂志》
CAS
2015年第6期477-479,共3页
Journal of Clinical Emergency
