经手术或病理证实的小肠出血性疾病的临床分析

发布时间：2018-10-09 10:14

【摘要】：目的:分析小肠出血性疾病的临床特征及诊断方法。方法:收集2011年1月至2013年12月间重庆医科大学附属第一医院收治并经病理证实的84例小肠出血性疾病的临床资料,从临床表现、病因、病灶部位、检查方法分别做一探讨。结果:84例小肠出血性疾病中肿瘤占61.90%(52/84),其次为血栓性疾病、小肠憩室、溃疡,分别占11.90%、8.33%、5.95%,其他少见的病因有急性出血坏死性小肠炎、小肠息肉、克罗恩病、肠结核、过敏性紫癜等。出血方式以黑便多见,伴有腹痛、发热、腹部包块、腹泻等。出血部位以空肠、回肠为主。结论:小肠出血性疾病病因以肿瘤为主,临床表现缺乏特异性,诊断困难,治疗棘手,需结合多种检查方法的优缺点及小肠出血病因的特点制定不同的诊断方法。
[Abstract]:Objective: to analyze the clinical features and diagnostic methods of small intestinal hemorrhagic diseases. Methods: from January 2011 to December 2013, 84 cases of small intestinal hemorrhagic diseases admitted in the first affiliated Hospital of Chongqing Medical University and confirmed by pathology were collected. The clinical manifestations, etiology, location of lesions and examination methods were discussed respectively. Results tumor accounted for 61.90% (52 / 84) of 84 cases of small intestinal hemorrhagic disease, followed by thrombotic disease, small intestinal diverticulum and ulcer, accounting for 11.90% 8.33% and 5.95%, respectively. Other rare causes included acute hemorrhagic necrotizing enteritis, small intestinal polyp, Crohn's disease, intestinal tuberculosis, allergic purpura and so on. Haemorrhage in the form of black stool, accompanied by abdominal pain, fever, abdominal mass, diarrhea and so on. The bleeding site was jejunum and ileum. Conclusion: the main etiology of small intestinal hemorrhagic diseases is tumor, the clinical manifestation is lack of specificity, the diagnosis is difficult and the treatment is difficult. Different diagnosis methods should be made in combination with the advantages and disadvantages of various examination methods and the characteristics of the etiology of small intestinal hemorrhage.
【作者单位】：重庆医科大学附属第一医院消化内科;
【分类号】：R574.5

【参考文献】