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Dieulafoy病34例临床及内镜下诊治分析
引用本文:赵德娥,张辉,苗涛,朱天兴. Dieulafoy病34例临床及内镜下诊治分析[J]. 临床急诊杂志, 2013, 0(6): 256-258
作者姓名:赵德娥  张辉  苗涛  朱天兴
作者单位:城固县医院消化内科,陕西城固723200
摘    要:目的:探讨Dieulafoy病的诊断与内镜下治疗。方法:对近16年收治的34例Dieulafoy病临床和内镜资料进行分析。结果:内镜下治疗19例,其中止血夹治疗1例,注射高渗盐水或硬化剂3例,射频治疗仪治疗15例,均立即止血,其中1例再次出血死亡;手术15例,均治愈。结论:急诊内镜检查是Dieulafoy病主要诊断方法,内镜下治疗是Dieulafoy病重要治疗方法,射频治疗具备操作简便,患者耐受好,疗效肯定等优点,需进一步总结经验,手术治疗可彻底解决血管畸形问题,也为重要治疗手段。

关 键 词:Dieulafoy病  急诊内镜  射频治疗

The analysis of clinical and endoscopic treatment of 34 patients with Dieulafoy lesion
ZHAO Dee,ZHANG Hui,MIAO Tao,ZHU Tianxing. The analysis of clinical and endoscopic treatment of 34 patients with Dieulafoy lesion[J]. Journal of Clinical Emergency Call, 2013, 0(6): 256-258
Authors:ZHAO Dee  ZHANG Hui  MIAO Tao  ZHU Tianxing
Affiliation:(Department of Gastroenterology, the Hospital of Chenggu country, Shanxi 723200, China)
Abstract:Objective:To investigate the diagnosis and treatment of Dieulafoy lesion. Method:A total of 34 cases with Dieulafoy lesion were analyzed based on clinical and endoscopic data. Result: In the 19 cases treated with en- doscopy,1 case was treated with bandin, 3 cases with injection of sclerosis or hypertonic saline, 15 cases with ra diofrequency. Immediate homeostasis was achieved in all 19 cases. One patient died with recurrence of hemor rhage. Surgical treatment was applied in 15 cases. Conclusion:Dieulafoy lesion was diagnosed mainly by emergency endoscopy. Treatment under the endoscope was an important method. Radiofrequency was a kind of technique with the advantages as easier to operate, better tolerance, and definitely effective. Surgical treatment may applied as an important method to cured vascular abnormalities completely.
Keywords:dieulafoy  emergency endoscopy  radiofrequency
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