Dieulafoy病致消化道出血26例临床诊治分析  

Clinical analysis of 26 cases of gastrointestinal bleeding caused by Dieulafoy's leisions

作　　者：彭燕[1] 吴丽颖[1] 贾国法[1] 凌明德[1] 朱良松[1] 

机构地区：[1]淮北市人民医院消化内科,安徽省235000

出　　处：《中华消化病与影像杂志（电子版）》2015年第2期28-30,共3页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

摘　　要：目的分析Dieulafoy病消化道出血的临床特点及治疗方法。方法回顾性分析安徽省淮北市人民医院2005年5月至2013年6月间因消化道出血而收治的26例Dieulafoy病患者的临床资料。结果 26例中首发症状为呕血伴黑便11例,仅呕血3例,仅黑便12例。26例中内镜治疗24例,其中高渗盐水或硬化剂注射1例,内镜下金属夹钳夹止血20例,内镜注射联合金属夹止血3例。转手术治疗3例,血管栓塞介入治疗1例,均治愈。所有患者随访1年均无复发。结论消化道出血是Dieulafoy病的主要临床症状,内镜是诊断和治疗Dieulafoy病的首选方法;对于内镜治疗失败者,介入栓塞止血及手术治疗也为重要治疗手段。Objective To analyze the clinical features and therapeutic strategy of gastrointestinal bleeding caused by Dieulafoy′s lesions.Methods Clinical data of 26 Dieulafoy′s disease patients with gastrointestinal bleeding in our hospital from May 2005 to June 2013 were analyzed retrospectively.Results Among these 26 patients with Dieulafoy′s lesion,bleeding presented as hematemesis and melena in 11 cases, hematemesis alone in 3 cases,and melena alone in the other 12 cases.Twenty-four patients were treated by endoscopic intervention including injection of hypertonic saline or sclerosing agent in 1 case, metal clip haemostasis in 20 cases and injection combined with metal clip in 3 cases.Surgical operation was performed in 3 cases and angiography with embolization was performed in 1 case.All patients recovered and no relapse occurred after 1-year follow-up.Conclusions Alimentary tract hemorrhage is the major clinical symptom of Dieulafoy′s disease.Endoscopy is the first choice of diagnosis and treatment.Embolization and operation are important alternatives for those who can′t be cured by endoscopy.

关 键 词：DIEULAFOY病 胃肠出血 呕血 黑粪 

分 类 号：R573.2[医药卫生—消化系统]