儿童杜氏病1例报告  

Dieulafoy disease in a child:a case report and literature review

作　　者：张勇[1] 涂远艳[2] 何少珊 周新龙[1] 李桢[1] 王永培[1] ZHANG Yong;TU Yuanyan;HE Shaoshan;ZHOU Xinlong;LI Zhen;WANG Yongpei(Department of Pediatrics Dongguan Maternal and Child Health Hospital, Dongguan 523003, Guangdong, China;Department of Anesthesiology Dongguan Maternal and Child Health Hospital, Dongguan 523003, Guangdong, China)

机构地区：[1]广东省东莞市妇幼保健院儿科,广东东莞523003 [2]广东省东莞市妇幼保健院麻醉科,广东东莞523003

出　　处：《临床儿科杂志》2017年第7期537-539,共3页Journal of Clinical Pediatrics

摘　　要：目的探讨儿童杜氏病的临床诊治。方法回顾分析1例杜氏病患儿的临床表现、内镜下特点和治疗方法,同时复习相关文献。结果患儿,女,2岁5个月。因呕血7小时入院。经内镜下典型表现诊断本病。胃镜显示患儿病变部位为杜氏病好发位置胃角,局部糜烂区中央可见红色小血管裸露于黏膜表面。经胃镜下高频电凝治疗,疗效确切。结论儿童杜氏病临床罕见,缺乏明显临床特征性表现。消化内镜是诊断本病的首选检查方法。内镜下治疗创伤小、疗效确切,为首选治疗方法。Objectives To explore the clinical diagnosis and treatment of Dieulafoy disease in children.Method The clinical features,endoscopic features and treatment of Dieulafoy disease in a child were reviewed.Results The2-year-5-month old girl was admitted due to hematemesis for7hours.She was diagnosed of Dieulafoy disease by the typical endoscopic appearance.Gastroscopy showed that the lesion was located in gastric angle which was the predilection position of Dieulafoy disease.The small red blood vessels in the central part of the erosion area was exposed on the mucosal surface.The high frequency electrocoagulation under gastroscope was performed and effect was definite.Conclusion Dieulafoy disease is rare in children and lacks obvious clinical features.Endoscopic treatment has definite effect with little trauma and is the first choice of treatment.

关 键 词：杜氏病 恒径动脉 胃镜 儿童 

分 类 号：R725.7[医药卫生—儿科]