成功进行内镜下止血治疗恶性淋巴瘤侵犯所致胃动脉出血。
Successful endoscopic hemostasis for gastric arterial bleeding due to invasion of malignant lymphoma.
作者信息
Nomura Kenichi, Yamada Shinya, Shimizu Daisuke, Okuda Takashi, Kamitsuji Yuri, Yoshida Naohisa, Matsumoto Yosuke, Wakabayashi Naoki, Mikami Kazuya, Horiike Shigeo, Okanoue Takeshi, Taniwaki Masafumi
机构信息
Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kamigyo-ku, Kyoto 602-0841, Japan.
出版信息
World J Gastroenterol. 2005 Jul 21;11(27):4285-6. doi: 10.3748/wjg.v11.i27.4285.
A 75-year-old male with malignant lymphoma (ML) accompanied with gastric lesion was treated with combination chemotherapy. The patient produced tarry stool on the 4th d, and emergency gastroscopy showed arterial bleeding from the lesion. Hemostasis was achieved by injecting pure ethanol and using hemostatic clips. There is only one previous report on endoscopic hemostasis being effective for bleeding due to lymphoma. Since gastric bleeding causes significant mortality, endoscopic hemostasis should be considered as first-line treatment for ML patients who were treated with chemotherapy.
一名75岁男性恶性淋巴瘤（ML）伴胃部病变患者接受了联合化疗。患者在第4天出现柏油样便，急诊胃镜显示病变部位动脉出血。通过注射纯乙醇和使用止血夹实现了止血。此前仅有一篇关于内镜止血对淋巴瘤出血有效的报道。由于胃出血会导致显著的死亡率，对于接受化疗的ML患者，内镜止血应被视为一线治疗方法。
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