小肠大出血的诊断和治疗  

The diagnosis and treatment of severe small intestine hemorrhage

作　　者：张英民[1] 程敏[1] 张训臣[1] 童仕伦[1] 

机构地区：[1]湖北医科大学附属第一医院普外科

出　　处：《中国普通外科杂志》1997年第3期142-144,共3页China Journal of General Surgery

摘　　要：文章对近１０年收治的３８例小肠大出血予以回顾性分析。因小肠冗长，活动度大，急性大出血时无特异症状，又缺乏特检手段，本组术前确诊率仅２４％。本组３８例中，３例术后死亡；３５例治愈，并均获随访（平均４年３月），无１例再发出血。通过本组治疗经验，作者认为应尽可能发挥各项检查优势，详细分析病史，注意治疗反应，若经综合治疗仍持续出血者，宜尽早施行手术。根治性手术效果理想。In the past 10 years, 38 cases of severe small intestine hemorrhage have been treated in our department Because of the long small intestine with great mobility and deficiency of special symptom and sign and lack of valiable examination methods, when severe bleeding occurred, in this series only 24% of patients were diagnosed before operation Among the 38 cases, 3 died after operation, and 35 cured and were followed up (mean 4 years and 3 months), none of the 35 patients had rebleeding The results suggest that it is important to view and analyse the patients history carefully, observe the response of the patients to the treatment, and that operation should be done early for the patients with continal bleeding after conservation treatment The results are good in patients who underwent a radical operation

关 键 词：小肠 大出血 诊断 外科.手术 

分 类 号：R656.7[医药卫生—外科学]