急性出血性直肠溃疡综合征的临床研究  

Clinical Study on Acute Hemorrhagic Rectal Ulcer Syndrome

作　　者：熊毅敏[1] 王一鸣[1] 徐维田[1] 郑国荣[1] 

机构地区：[1]广州军区武汉总医院消化内科,湖北武汉430070

出　　处：《华南国防医学杂志》2014年第2期132-133,共2页Military Medical Journal of South China

摘　　要：目的探讨急性出血性直肠溃疡综合征（acutehemorrhagicrectalulcersyndrome，AHRUs）的临床表现和诊治方法。方法回顾性收集作者医院2004-2012年经临床、内镜表现确诊的AHRUS患者，分析其临床特点及治疗方法。结果11例患者均有严重心脑肺疾患；伴有突发、无痛性下消化道大出血，急诊内镜显示为直肠溃疡，病理检查提示黏膜坏死、脱落及黏膜和黏膜下血管内血栓形成；经积极药物及内镜下止血治疗和对相应原发疾病的治疗，所有患者的出血均止住。结论急性出血性直肠溃疡综合征是以有心脑肺严重疾患的患者，突然出现无痛性下消化道大出血为特征，及时的电子结肠镜检查是诊断的关键，相应原发病的治疗和必要的内镜下处理是治疗必需手段。Objective To discuss clinical manifestations, diagnosis and treatment of acute hemorrhagic rectal ulcer syndrome （AHRUS）. Methods Evleven patients with AHRUS diagnosed by clinical and endoscopic inspections from 2004 to 2012 in our Hospitalwere retrospectively studied. The clinical characteristics and therapeutics of the disease were analysed. Results All the 11 patients had sudden, painless alimentary tract hemorrhage accompanied by serious cardiac and pulmonary diseases. Emergency endoscopic inspection displayed that there were rectal ulcers. Pathological examina- tions revealed the mucosal necrosis, drop or submucous intravascular thrombosis. In all the patients, bleeding were stopped after implements of active medicine therapeutics, endoscopic hemostatics, and the cure of primary diseases. Con- clusion AHRUS is diagnosed by clinical characteristics and endoscopic expressions. The key diagnosis is the electronic colonoscopy in time. It is also necessary to cure the primary diseases.

关 键 词：出血性 直肠溃疡 结肠镜 内镜下治疗 

分 类 号：R574.63[医药卫生—消化系统]