摘要
目的探讨下消化道出血的病因。方法将 332例下消化道出血患者 (男 2 10例 ,女 12 2例 ) ,分为儿童组 31例 (9.34% ) ,青年组 10 1例 (30 .4 2 % ) ,中年组 114例 (34.6 4 % ) ,老年组 86例 (2 5 .90 % )。其中2 89例经肠镜检查 ,4 3例经钡灌肠、放射性核素扫描等检查或手术探查。结果2 89例经肠镜检查的病人均确诊 ;4 3例经钡灌肠、放射性核素扫描等检查或手术探查的病人 ,32例 (74 .4 2 % )明确了诊断。本组资料表明下消化道出血病因依次为大肠癌 (2 5 .30 % )、息肉 (19.90 % )、肛周病变 (18.6 3% )、结肠炎 (17.17% ) ,憩室(3.6 1% )等 ;息肉发病率男性高于女性 (P <0 .0 5 ) ;痔的发病率女性高于男性 (P <0 .0 5 ) ;大肠癌在中年组、老年组的发病率明显高于其他年龄组 (P <0 .0 5 ) ;果酱色或咖啡色血便多来自小肠及右半结肠 ,暗红色血便来自左半结肠。结论大肠癌、息肉、肛周病变、结肠炎和憩室等疾病为下消化道出血的主要病因 ;年龄及性别与病因相关 ;
ObjectivesTo study the causes of hemorrhage occurred in lower digestive tract .MethodsThree hundred and thirty two patients (210 males and 122 females) with hemorrhage of lower digestive tract were divided into 4 groups according to their ages: Children group—31 cases(9.34%); young people group—101 cases(30.42%); middle age group—114 cases(34.64%)and old age group—86 cases(25.9%). Endoscopic examination was performed in 289 cases, barium clyster and radionuclide scan or laparotomic exploration were done in 43 cases.ResultsThe diagnosis of 289 cases was confirmed by endoscopy ,whereas a clarified diagnosis was made in 32 out of 43 cases (74.42%) subjected to barium clyster and radionuclide scan or laparotomic exploration. Our data showed that the causes of hemorrhage in lower digestive tract were in turn : large intestine cancer (25.3%) , polypus(19.9%) , perianal abnormality or Crissum's disease (18.63%), colonitis(17.17%) and diverticulum (3.61%) , etc. The morbidity of polypus in males was higher than that of females(P<0.05),the incidence of hemorrhoids in females was higher than that of males(P<0.05); while the morbidity of large intestine cancer in middle age and old age groups were higher than that of other groups(P<0.05) .Most of jam colored or coffee colored bloody stools came from small intestine and the right half colon; whereas the dark red colored bloody stool came from the left half colon.ConclusionLarge intestine cancer , polypus, Crissum's disease, colonitis and diverticulum are the main causes of hemorrhage in lower digestive tract. Age and sex are correlative to the causes ; the color of bloody stool is correlated with the location of pathological changes. [
出处
《医学临床研究》
CAS
2003年第5期341-343,共3页
Journal of Clinical Research
