Dieulafoy病合并消化道出血11例诊治体会  

Diagnosis and therapy of gastrointestinal hemorrhage of 11 cases with Dieulafoy′s disease

作　　者：贾玉良[1] 刘少锋[1] 袁鹤鸣[1] 何池义[1] 韩真[1] 

机构地区：[1]皖南医学院附属弋矶山医院消化内科,安徽芜湖241001

出　　处：《皖南医学院学报》2006年第3期189-191,共3页Journal of Wannan Medical College

摘　　要：目的:探讨Dieulafoy病合并消化道出血的诊治方法。方法:回顾性分析11例Dieulafoy病合并消化道出血的诊治经过。结果:7例通过胃镜明确诊断,2例通过选择性腹腔动脉造影发现出血动脉,后经胃镜证实,1例通过内镜+手术探查后病理证实,1例通过肠镜明确诊断。6例经内镜止血治疗,3例经介入栓塞止血治疗,4例行手术治疗,1例死亡。结论:内镜、选择性腹腔动脉造影、手术探查及病理是该病的主要诊断方法,而介入栓塞、内镜治疗以及手术是主要治疗方法。Objective： To investigate the diagnostic and treatment procedures of gastroenteritic hemorrhage secondary to Dieulafoy＇ s disease. Methods： The clinical data of llpatients with Dieulafoy＇s disease from January 2000 to February 2005 were analyzed retrospectively. Results： 7 cases were diagnosed by emergency gastroscopy examination, 2 cases were found with lesion in selective angiography followed by gastroscopy verifying, 1 case was detected by colonoecopy and verified by postoperative pathology and another 1 case was confirmed by colonoscopy. Of 11 eases, 6 underwent therapy of endoscopic hemostasis, 3 were arrested bleeding after embolization in selective angiography and another 4 were checked hemorrhage by surgical intervention apart from one death. Conclusion： Gastroscopy, selective angiography, surgery and pathological examination are principal means in diagnosis of such cases while embolization, endoscopy and surgery are recommended for effective therapy.

关 键 词：DIEULAFOY病 消化道出血 诊断 治疗 

分 类 号：R573.2[医药卫生—消化系统]