小肠出血28例临床分析  

Clinical analysis of 28 cases of small intestinal hemorrhage

作　　者：廖陈[1] 唐浩然[1] 唐辉蓉[1] 吴雪松[1] 孙锋[1] 张家骅[1] LIAO Chen;TANG Haoran;TANG Huirong;WU Xuesong;SUN Feng;ZHANG Jiahua(Department 1 of Gastrointestinal Surgery,Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan,650101,China)

机构地区：[1]昆明医科大学第二附属医院胃肠外科一病区,云南昆明650101

出　　处：《当代医学》2022年第8期47-49,共3页Contemporary Medicine

摘　　要：目的探讨小肠出血的发病原因、临床诊断和治疗方法。方法回顾性分析本院2000年1月至2018年12月收治的28例小肠出血患者的临床资料。结果小肠出血原因以血管病变和肿瘤多见,其中血管病变13例(血管畸形8例,血管瘤5例),肿瘤10例(间质瘤8例,淋巴瘤2例),美克尔憩室4例,Corhn病1例。出血部位:空肠16例,回肠12例。28例患者中22例行手术治疗,手术方式为小肠部分切除术或小肠局部切除术,6例患者行DSA介入治疗。28例患者均治愈出院,出院随访均无再次出血,其中1例空肠间质瘤患者2年后出现肝转移并死亡。结论小肠出血的定位定性诊断存在一定困难,对辅助检查无法明确诊断时,手术探查是主要诊断方法及治疗手段。Objective To investigate the etiology,clinical diagnosis and treatment of small intestinal hemorrhage.Methods The clinical data of28 patients with small intestinal hemorrhage treated in our hospital from January 2000 to December 2018 were retrospectively analyzed.Results Vascular lesions and tumors were the most coon causes of bleeding,including 13 cases of vascular lesions(8 cases of vascular malformation,5 cases of hemangioma),10 cases of tumors(8 cases of stromal tumors,2 cases of lymphoma),4 cases of Meckel’s diverticulum,and 1 case of Corhn’ s disease.Bleeding sites:16 cases of jejunum,12 cases of ileum.22 of the 28 patients underwent surgical treatment,including partial or local resection of the small intestine,and 6 patients underwent DSA intervention.All 28 patients were cured and discharged,and there was no rebleeding during discharge follow-up.1 patient with jejunal stromal tumor developed liver metastasis and died 2 years later.Conclusion It is diffcult to localize and qualitatively diagnose small intestinal hemorrhage.Surgical exploration is the main method of diagnosis and treatment when auxiliary examination is unable to make a definite diagnosis.

关 键 词：小肠出血 诊断 治疗 

分 类 号：R574.5[医药卫生—消化系统]