栓塞治疗起始经内镜治疗失败的十二指肠降部Dieulafoy病变大出血2例并文献复习  

Embolization of massive bleeding from Dieulafoy's lesion of the descending part of duodenum initially by failed endoscopic treatment:2 cases reports and review of the literature

作　　者：陈庆永[1] 张进祥[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院急诊外科,武汉430022

出　　处：《临床急诊杂志》2015年第6期477-479,共3页Journal of Clinical Emergency

摘　　要：Dieulafoy病（Dieulafoy＇s disease）又称Dieulafoy病变（Dieulafoy＇s lesion）,是引起致命性消化道大出血的少见原因之一,发生率低,仅占急性上消化道出血患者的1%-5.8%,但由于病灶小,出血位置隐匿,病死率高。Two cases of massive bleeding from Dieulafoy＇s lesion of the descending part of duodenum initially by failed endoscopic treatment in our hospital were retrospectively analyzed,in order to evaluate the efficacy of transcatheter superselective arterial embolization of massive bleeding from Dieulafoy＇s lesion of the descending part of duodenum initially by failed endoscopic treatment.The two cases were initially treated endoscopically with epinephrine injection and endoscopic hemoclips,but failed due to massive bleeding from Dieulafoy＇s lesion of the duodenum,angiography was requested for possible embolization,and the two cases were successfully treated by transcatheter superselective arterial embolization.The follow up time was 15 months.No patients had recurrent bleeding due to Dieulafoy＇s lesion.Angiography and embolization were considered as a valuable alternative for failure of therapeutic endoscopic interventions.

关 键 词：DIEULAFOY病变 十二指肠降部 栓塞 消化道出血 

分 类 号：R573.2[医药卫生—消化系统]