消化道出血病因及误诊原因分析

目的 分析343例消化道出血病例的原因以及误诊漏诊的原因.方法 对于343例消化道出血病例,诊断根据实验室检查、纤维内镜、胶囊内镜检查、选择性动脉造影、核素扫描、增强螺旋CT扫描或剖腹探查术结果.结果 上消化道出血的原因以溃疡性病变最为多见,下消化道出血以肠癌最为多见,65岁以上患者肿瘤发病率高于65岁以下患者.误诊以主要表现为黑便的右半结肠癌误认为上消化道出血,溃疡性结、直肠炎及直肠癌误诊为痔疮或痢疾出血多见.结论 消化道出血病因以溃疡性病变和肿瘤最为常见,老年患者应警惕肿瘤.

Analysis of etiology and misdiagnosed reasons in gastrointestinal bleeding

Objective To analysis of 343 cases of etiology and misdiagnosed reasons in gastrointestinal bleeding.Methods For the 343 cases of gastrointestinal bleeding cases,diagnosis based on laboratory tests,endoscopy,capsule endoscopy,selective angiography,radionuclide scanning,enhanced spiral CT scan or laparotomy.Results Cause of upper gastrointestinal bleeding in ulcerative disease is most prevalent,lower gastrointestinal bleeding is most common in intestinal cancer,patients over 65 years a high incidence of tumors in patients under the age of 65.Misdiagnosed cases to be mainly melena on the right colon mistaken for gastrointestinal bleeding in common,ulcerative colitis,proctitis and rectal cancer mistaken for more common bleeding hemorrhoids or diarrhea.Conclusion Ulcerative lesions and tumors in the most common cause of gastrointestinal bleeding,elderly patients should be alert to the tumor.