中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (06): 442-445.

• 专题笔谈 • 上一篇    下一篇

小肠疾病致消化道出血的诊断和治疗

王    强,寇有为   

  1. 中国医科大学附属盛京医院胃肠营养外科,辽宁沈阳110004
  • 出版日期:2010-06-01 发布日期:2010-05-25

  • Online:2010-06-01 Published:2010-05-25

摘要:

小肠疾病致消化道出血是消化道出血诊断治疗中的难点,其常见的病因主要包括小肠肿瘤,小肠血管性疾病,小肠炎性疾病。均为临床少见疾病,且极易误诊,导致严重后果。目前辅助检查主要依靠胶囊内镜、小肠镜、选择性动脉造影、核素扫描,必要时可考虑开腹探察,但手术探察诊断率不高,且风险较大。治疗时务须首先保证生命体征平稳,其次要明确诊断,在此基础上再考虑进一步治疗。包括保守治疗及外科手术治疗。

关键词: 小肠疾病, 消化道出血

Abstract:

Diagnosis and treatment of gastrointestinal hemorrhage resulted from small intestinal diseases    WANG Qiang, KOU You-wei. Department of Gastrointestinal and Nutrition Surgery, Shengjing Hospital of China Medical University,  Shenyang 110004,  China
Corresponding author: WANG Qiang, E-mail: wangq@sj-hospital.org
Abstract    Small intestinal disease is the rare cause of gastrointestinal hemorrhage. Diagnosis and treatment is very difficult. The main causes of bleeding include tumor, small intestinal vessels disease and inflammatory disease. The diagnosis of these diseases are mainly according to capsule endoscopy, enteroscopy, DSA and radioisotope scanning. Explorative operation is the last choice because of low definited diagnosis rate and high risk. Treatment first is to keep the vital sign stable. The second is to identify the cause. All the treatment including further expectant treatment and operation must be according to the diagnosis.

Key words: small intestinal disease, gastrointestinal hemorrhage