| 摘要: |
| ［摘要］ 目的 探讨上消化道粘膜下恒径小动脉破裂出血(Dieulafoy病)的内镜诊断与治疗。方法 对2005-04～2008-02胃镜检查诊断的22例Dieulafoy病住院病例进行分析。 结果 22例患者用HLE液内镜粘膜下注射治疗，1次注射止血有效率77.3%，2次注射止血总有效率86.4%，有3例注射治疗后仍有活动性出血行手术治疗。平均住院天数11.7 d。结论 对于Dieulafoy引起的上消化道大出血，内镜HLE液粘膜下注射治疗是有效的；诊断上需与消化性溃疡、肿瘤等引起上消化道出血的原因相鉴别。 |
| 关键词: Dieulafoy病 内镜检查 粘膜下注射 |
| DOI：10.3969/j.issn.1674-3806.2009.03.015 |
| 分类号:R 573.2 |
| 基金项目: |
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| Digestive Department, the First People′s Hospital of Changzhou (The Third Affiliated Hospital of Suzhou University), Changzhou 213003, China |
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SHEN Ting，SHEN Yun-zhi.
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Digestive Department, the First People′s Hospital of Changzhou (The Third Affiliated Hospital of Suzhou University), Changzhou 213003, China
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| Abstract: |
| ［Abstract］ Objective To investigate the diagnosis and treatment of Dieulafoy′s lesion in the upper gastrointestinal tract.Methods From April 2005 to February 2008，22 hospitalized patients with Dieulafoy′s lesion were diagnosed by endoscope in our hospital.Their clinical data was analyzed retrospectively.Results 22 patients with Dieulafoy′s lesion were treated by submucosal injection of HLE (10% sodium chloride 8 ml+2% lidocaine 1 ml + 1∶10 000 epinephrine 1 ml).The effective rate of hemostasis by endoscopic submucosal injection once was 77.3%， and the total effective rate was 86.4% by injecting twice, three cases with active bleeding after injection treatment underwent operation. The mean hospitalization time was 11.7 (ranged from 3 to 24) days.Conclusion The endoscopic submucosal injection with HLE is efficient to treat the upper gastrointestina1 massive haemorrhage caused by Dieulafoy′s lesion. And it is necessary to differentiate Dieulafoy′s lesion from upper gastrointestina1 ulcer or cancer, which can also cause profuse bleeding. |
| Key words: Dieulafoy′s lesion Endoscopy Submucosal injection |
