摘要
[目的]探讨Dieulafoy痛致消化道出血的临床特点及诊疗方法。[方法]分析2010年1月至2016年1月本院收治的18例Dieulafoy病患者的临床资料。[结果]18例患者均表现为消化道出血，其中以呕血和黑便为首发症状6例，呕血和暗红色血便2例，仅呕血6例，仅黑便4例。出血病灶位于胃体11例，胃窦2例，胃底1例，十二指肠球降交界处2例，十二指肠降部憩室内1例，十二指肠球部前壁1例。采用内镜下治疗15例，其中金属钛夹钳夹止血12例，硬化剂（聚桂醇）注射2例，金属钛夹联合硬化剂注射1例；15例中有12例止血成功，止血率为80％，3例治疗失败转外科手术治疗；单纯药物治疗2例，1例未行内镜治疗直接手术治疗。经以上治疗，18例中有17例治愈。[结论]Dieulafoy病以消化道大出血为主要表现，金属钛夹钳夹止血及硬化剂注射是首选治疗方法，对于内镜治疗失败患者，外科手术是重要的治疗手段。
LObjectivel To analyze the clinical features and treatment of Dieulafoy＇s lesion.[Methods] Clinical data of 18 Dieulafoy^s lesion patients with gastrointestinal bleeding at our hospital from January 2010 to January 2016 was analyzed retrospectively.[Results] Among these 18 patients with Dieulafoy＇s lesion, bleeding presented as he- matemesis and melena as the first symptom in 6 cases, hematemesis and bloody stools in 2 cases, hematemesis alone in 6 cases, and melena alone in 4 cases. Among the 18 patients of Dieulafoy＇s lesion, 11 of them were located in the gastric body, 2 in the gastric antrum, 1 in the gastric fundus, 1 in the anterior wall of duodenal bulb, 1 in the diver- ticulum of the descending duodenum, and 2 in junction of the bulb and the descending part of the duodenum. Fifteen patients were treated by endoscopic intervention including injection oI sclerosing agent in 2 cases, metal clip haemosta- sis in 12 cases, and injection combined with metal clip in 1 case. Surgical operation was performed in 3 case. Only medication treatment was performed in 2 cases. [Conclusionl Alimentary tract hemorrhage is the major clinical symp- tom of Dieulafoys lesion. Endoscopy is the first choice of diagnosis and treatment. Operations are important alternatives for those who can＇t he managed by endoscopy.
出处
《医学临床研究》
CAS
2016年第8期1507-1509,共3页
Journal of Clinical Research
