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。 |
关键词: 下消化道出血 血管畸形 胃肠道间质瘤(GIST) 手术治疗 |
DOI:10.12025/j.issn.1008-6358.2019.20191610 |
分类号:R825.7 |
基金项目: |
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Clinical characteristics of acute lower gastrointestinal bleeding |
SHENG Wei-zhong, YAO Lu, DONG Tian-geng, GONG Yu-da, ZHANG Bo, GAO Wei-dong
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Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
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Abstract: |
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. |
Key words: LGIB vascular malformation GIST surgical procedure |