小儿梅克尔憩室并发消化道出血快速救治措施分析  

作　　者：沈林云 蒋琼俏 吴彩芬 

机构地区：[1]浙江省台州恩泽医疗中心(集团)恩泽医院,318050 [2]浙江省台州市路桥区妇幼保健计划生育服务中心,318050

出　　处：《浙江临床医学》2020年第1期84-85,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨小儿梅克尔憩室并发消化道出血的快速有效诊治措施.方法回顾性分析2013年6月至2018年6月13例明确诊断梅克尔憩室并发消化道出血为首发症状的患儿所采取的各项重要检查以及快速有效的治疗措施.结果重要检查行腹部CT平扫?6例,腹部CT增强?7例,右下腹腹腔穿刺?5例,胃及十二指肠镜检查5例,肠镜检查2例,DSA下肠系膜动脉造影3例,腹腔镜手术3例,先腹腔镜探查确诊后行剖腹手术8例,直接剖腹探查及手术切除2例.结论不明原因消化道大出血怀疑梅克尔憩室应积极采取腹腔镜探查或剖腹探查术.Objective To explore the rapid and effective diagnosis and treatment of children meckel’s diverticulum complicated with gastrointestinal bleeding.Methods 13 patients admitted to Taizhou Enze Medical Center(group)from June 2013 to June 2018 were retrospectively analyzed for the important examinations and rapid and effective treatment measure adopted by the children who were clearly diagnosed as the first symptom of meckel’s diverticulum complicated with gastrointestinal bleeding.Results Important inspection including abdominal CT scan in 6 cases,abdominal CT enhancement in 7 cases,lower membrane cavity puncture in 5 cases of pancreas,stomach and duodenum endoscopy in 5 cases.Endoscopic exploration first 8 cases diagnosed after laparotomy,directly laparotomy and surgical resection in 2 cases.Conclusion Unknown reasons eliminate channel massive hemorrhage and meckel’s diverticulum should be proactively examined by Laparoscopic exploration or laparotomy.

关 键 词：梅克尔憩室 消化道出血 诊断 儿童 

分 类 号：R73[医药卫生—肿瘤]