急性下消化道出血的临床外科诊治分析  

Clinical characteristics of acute lower gastrointestinal bleeding

作　　者：盛卫忠[1] 姚璐 董天庚[1] 龚昱达 张波[1] 高卫东[1] SHENG Wei-zhong;YAO Lu;DONG Tian-geng;GONG Yu-da;ZHANG Bo;GAO Wei-dong(Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China)

机构地区：[1]复旦大学附属中山医院普通外科

出　　处：《中国临床医学》2019年第6期866-869,共4页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨下消化道出血的病因及临床外科诊治策略。方法:回顾性分析复旦大学附属中山医院普通外科2012年1月至2017年12月收治的59例下消化道出血患者的临床资料。结果:59例患者经急诊胃肠镜、腹部CT、DSA及急诊剖腹探查等手段,全部明确出血原因及部位,共发现小肠血管畸形19例、小肠间质瘤(GIST)17例、结直肠肿瘤/息肉22例,49例患者行手术治疗。结论:术前采用急诊胃肠镜、腹部CT及DSA检查明确诊断是提高下消化道出血外科治疗效果的关键。Objective:To explore the etiological factors and therapeutic strategies of acute lower gastrointestinal bleeding(LGIB)for improving the diagnosis and treatment of the disease.Methods:Clinical data of 59 cases of acute LGIB from January 2012 to December 2017 at Zhongshan Hospital,Fudan University were retrospectively analyzed.Results:Etiologies were determined by abdominal computed tomography(CT),angiography,or laparotomy.The major causes of LGIB were vascular malformation of the small intestine(19/59)and the GIST of the small intestine(17/59);other causes included colorectal cancer,colorectal polyp,diverticular disease,malignant tumor of the small intestine(22/59).A total of 49 cases were received surgical procedures.Conclusions:Evidence from the series of cases suggests that preoperative definitive diagnosis by endoscopy,abdominal CT,or angiography is the key to improve the curative effect of acute LGIB.

关 键 词：下消化道出血 血管畸形 胃肠道间质瘤(GIST) 手术治疗 

分 类 号：R825.7[医药卫生—临床医学]