通过激光光凝成功控制胃窦血管扩张症（西瓜胃）出血。
Successful control of bleeding from gastric antral vascular ectasia (watermelon stomach) by laser photocoagulation.
作者信息
Tsai H H, Smith J, Danesh B J
机构信息
University Department of Materia Medica, Stobhill General Hospital, Glasgow.
出版信息
Gut. 1991 Jan;32(1):93-4. doi: 10.1136/gut.32.1.93.
Abstract
We report a case of gastric antral vascular ectasia in a patient with primary biliary cirrhosis in whom chronic blood loss was a major problem. She required repeated blood transfusions that were complicated by reactions and still had persistent anaemia. She was treated with laser phototherapy in the form of quadrantic photocoagulation with a neodynium yttrium-aluminium-garnet laser. This greatly improved the endoscopic appearance of the gastric lesions and effectively controlled blood loss. She required no further transfusions. Bleeding recurred after 11 months which was controlled by further laser photocoagulation.
摘要
我们报告一例原发性胆汁性肝硬化患者发生胃窦血管扩张症，慢性失血是其主要问题。她需要反复输血，输血过程出现了并发症，且仍持续贫血。她接受了用钕钇铝石榴石激光进行象限光凝形式的激光光疗。这极大地改善了胃部病变的内镜表现，并有效控制了出血。她无需进一步输血。11个月后出血复发，再次通过激光光疗得以控制。
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