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.
作者
盛卫忠
姚璐
董天庚
龚昱达
张波
高卫东
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)
出处
《中国临床医学》
2019年第6期866-869,共4页
Chinese Journal of Clinical Medicine
