Dieulafoy病  

Dieulafoy's Disease

作　　者：张仲良[1] 王宇[1] 国永生[1] 石书舫[1] 

机构地区：[1]北京友谊医院

出　　处：《北京医学》1998年第2期67-70,共4页Beijing Medical Journal

摘　　要：Ｄｉｅｕｌａｆｏｙ病系胃粘膜下动脉先天性发育异常，其病灶是由表浅性粘膜糜烂、缺损和粘膜下恒径动脉构成，是引起上消化道大出血并非罕见的原因。其出血急速且量大，往往在短时间内招致失血性休克，其病灶微小，出血部位隐匿，在诊断治疗时常常遇到困难。我院手术治疗Ｄｉｅｕ－ｌａｆｏｙ病３例，认为术前内窥镜和手术探查是其主要的诊断方法，对本病的充分认识是避免误诊和漏诊的关键。Dieulafoy's disease that is not an uncommon cause of massive upper gastrointestinal (GI) bleeding is a congenital angiodysplasia in the gastric submucosa.The lesion is consdered of superficial mucosal erosion and caliberpersistence artery.The disease usually leads to shock dueto loss of blood in the short time because of massive bleeding.It is difficult to diagnose the disease due to the minimal lesion and obscure bleeding site .From May 1991 to December 1995,totally 3 cases of the Dieulafoys disease and 58 cases of massive upper GI bleeding due to other causes were operated in our hospital.The Dieulafoys disease was accounted for 5 per cent (3/61) of total cases.The main methods of diagnosis for the Dieulafoys disease are preoperative endoscopy and laparotomy.To fully understand the Dieulafoy's disease is the key to avoid misdiagnosis.Surgical treatment is the most effective and reliable therapy for the Dieulafoy's disease.

关 键 词：DIEULAFOY病 上消化道出血 病理 诊断 治疗 

分 类 号：R573.2[医药卫生—消化系统]