Analysis of the etiology and diagnosis of 54 cases of small intestinal hemorrhage

LIU Shengchun; et al

doi:10.13406/j.cnki.cyxb.2005.01.038

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Analysis of the etiology and diagnosis of 54 cases of small intestinal hemorrhage

更新时间：2024-01-17

- Analysis of the etiology and diagnosis of 54 cases of small intestinal hemorrhage
- Journal of Chongqing Medical University Issue 1, Pages: 127-129(2005)
- 作者机构：
  
  1. 重庆医科大学临床学院普外科
  2. 重庆医科大学临床学院普外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.01.038
  CLC： R656.7
- Published：2005，
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[1]刘胜春,姚榛祥.54例小肠出血的病因及诊断分析[J].重庆医科大学学报,2005(01):127-129.

LIU Shengchun, et al. Analysis of the etiology and diagnosis of 54 cases of small intestinal hemorrhage. [J]. Journal of Chongqing Medical University (1):127-129(2005)
[1]刘胜春,姚榛祥.54例小肠出血的病因及诊断分析[J].重庆医科大学学报,2005(01):127-129. DOI： 10.13406/j.cnki.cyxb.2005.01.038.

LIU Shengchun, et al. Analysis of the etiology and diagnosis of 54 cases of small intestinal hemorrhage. [J]. Journal of Chongqing Medical University (1):127-129(2005) DOI： 10.13406/j.cnki.cyxb.2005.01.038.

摘要

目的探讨小肠出血的病因及诊断方法。方法对我院1980年1月～2003年12月收治并经证实的54例小肠出血的病因及诊断方法进行回顾性分析。结果出血原因肿瘤35/54（64.81%）

其中恶性肿瘤占24/35（68.57%）

良性肿瘤11/35（31.43%）;血管病变10/54（18.52%）;炎性及其他疾病9/54（16.67%）。术中肠镜检查6例

阳性诊断率100%;选择性动脉造影5例

诊断符合率4/5（80%）;99mTc标记红细胞核素扫描6例

其中5例提示小肠出血5/6（83.33%）;胃镜及结肠镜检查37例

阳性结果8/37（21.62%）;肠道X线检查阳性率6/24（25.00%）;B超10/29（34.48%）阳性。结论肿瘤是小肠出血的主要原因

血管病变不可忽视。术中肠镜、DSA、ECT等诊断方法外

B超检查具有较重要的作用。

Abstract

Objective:To analyze and discuss etiology and diagnosis of small intestinal hemorrhage.Methods:Fifty-four cases

who had small intestinal hemorrhage and had been admitted in our hospital from 1980.1 to 2003.12

were analyzed according to etiology and diagnosis.Results:Small intestinal tumors were found in 35 cases(64.81%)

among which most were malignant (68.57%)

angiodysplasia in 10 cases (18.52%)

Crohn’s disease

infective disease and diverticula in 9 cases (16.67%).The positive rates of intraoperative colonoscopy

angiography

radionucleide scanning

endoscopy

intestinal tract X-ray as well as ultrasound were 6/6(100%)

4/5(80%)

5/6(83.33%)

8/37(21.62%)

6/24(25.00%) and 10/29(34.48%) respectively.Conclusion:Tumor is the most common cause of small intestinal hemorrhage and angiodysplasia often cause small intestinal massive bleeding.Besides intraoperative colonoscopy

angiography and radionucleide scanning special diagnostic methods.B ultrasound is helpful for diagnosis of small intestinal hemorrhage.

关键词

小肠出血病因诊断

Keywords

small intestinal hemorrhageetiologydiagnosis

references

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Related Institution

Department of Gastroenterology，The First Affiliated Hospital of Chongqing Medical University

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Teaching and Research Section of Pathology，College of Basic Medical Sciences，Chongqing Medical University

Department of Traditional Chinese Medicine，Children’s Hospital，Zhejiang University School of Medicine/ National Clinical Research Center for Child Health

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