摘要
目的总结胃黏膜下恒径小动脉破裂大出血的急诊诊断与救治的经验教训。方法对我院2009年3月—2012年2月急诊收治的19例经胃镜检查确诊的胃黏膜下恒径小动脉破裂大出血患者的一般情况、临床表现、内镜下诊断治疗、外科治疗等方面资料进行综合分析。结果本组患者急诊首次胃镜检查诊断率为68.4%,镜下止血成功率为84.2%,中转手术率为15.8%。全部病例无镜检和手术相关并发症发生。结论对原因不明和无症状的突发上消化道大出血患者应考虑到胃黏膜下恒径小动脉破裂出血的可能性,急诊胃镜检查是诊断和治疗的首选方法,治疗失败时,在胃镜诊断和钛夹定位下及时行胃楔形切除是有效的治疗方法。
Objective To analyze the experience in diagnosis and treatment of emergency patients with Dieulafoy＇ s disease. Methods The general data of 19 patients with Dieulafoy＇ s disease, who were diagnosed and treated by gastroscopy and operation from March 2009 to February in 2012, were retrospectively analyzed. Results Diagnosis rate under emergency gastroscopy was 68.4% for the first time. The rate of successful haemostasis under gastroscopy was 84.2%. There were 3 patients （ 15.8% ） who had to be diverted to operation after failure in gastroscopic treatment. No related complications arose during gastroscopy and opera- tion in all the patients. Conclusion Dieulafoy＇ s disease should be considered in the patients with unexplained causes of upper gastrointestinal bleeding. Emergency gastroscopy is the preferred method to diagnosis and treatment. After the failure of endo- scopic hemostasis, according to gastroscopy to determine bleeding location, timely gastric wedge resection is an effective treatment approach.
出处
《临床军医杂志》
CAS
2013年第6期613-614,617,共3页
Clinical Journal of Medical Officers
关键词
恒径动脉
上消化道大出血
胃内镜
constant diameter artery
upper gastrointestinal hemorrhage
gastroscopy
