摘要
本文报告我院外科1986－1995诊断的小肠大出血23例，急性坏死性肠炎和肿瘤是最常见的病因，临床表现无特异性。采用常规检查，如钡餐、钡灌肠、纤维胃镜检查排除食道、胃、十二指肠球部、胆道和大肠出血后考虑为小肠出血，部分病人术前采用选择性腹腔动脉造影，核素扫描帮助定位诊断。术中常规手法检查不能明确病变部位时采用术中肠镜检查或分段盐水灌水透光检查，找到出血部位后，20例切除病灶。作者认为治疗小肠出血的外科技术并非难事，而困难在于明确出血来源于何处。本文对小肠大出血的定位诊断进行了讨论。
During 1986 - 1995, 23 cases with severe small intestine bleeding were treated in out patient department . The acute necrotic small intestinitis and tumous are the most common causes of bleeding .There are not any specific manifestation. Afer the conventional diagnostic procedures includign upper gastrointestinal barium meal, barium enema and duedenoscopy , hemorrhage from the upper G - I tract or from the colon can usually be ruled out, a diagnosis of small intestinal bleeding will be supected .Preoperative visceral angiography and 99 m labelled red cell scintigraphy are are benefit for diagnesis of small intestine bleeding. When the bleeding site is hard to be found during operation , intra - operative fibreoptic enteroscopy or segmental lavege of small intestine may help to demonstrate the bleeding lesion .
出处
《广州医学院学报》
1997年第1期71-73,共3页
Academic Journal of Guangzhou Medical College
关键词
小肠大出血
下消化道出血
Small intestine bleeding
Lower intestinal tract bleeding
