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[小肠憩室病变引起的罕见消化道出血]

[Rare digestive hemorrhage caused by diverticular pathology of the small intestine].

作者信息

Agnifili A, Gola P, Gianfelice F, Masci C, Turco G, Ranalletta D, Ibi I, De Bernardinis G

机构信息

Dipartimento Discipline Chirurgiche, Università degli Studi de L'Aquila.

出版信息

Minerva Chir. 1990 May 31;45(10):721-4.

PMID:2117712
Abstract

The Authors report two cases of digestive hemorrhage secondary to diverticulosis of the small intestine. The incidence of this pathology in an overall population of 215 digestive hemorrhages was 0.9%. A clinical identity-kit is drawn of patients affected by jejunal diverticulosis, and the most important and characteristic anamnestic manifestations are defined. The most statistically significant complication is hemorrhage which was observed in 33% of cases. Clinical manifestations of hemorrhage are defined as variable and "bizarre", since they may appear as hematemesis, melena or enterorrhagia. The surgical procedure for radical definitive and prophylactic therapy is segmentary resection of the jejunum affected by pseudodiverticulosis.

摘要

作者报告了两例小肠憩室病继发消化性出血的病例。在215例消化性出血的总体人群中,这种病理情况的发生率为0.9%。绘制了空肠憩室病患者的临床特征图谱,并确定了最重要和最具特征性的既往临床表现。统计学上最显著的并发症是出血,在33%的病例中观察到。出血的临床表现被定义为多样且“怪异”的,因为它们可能表现为呕血、黑便或肠出血。根治性确定性和预防性治疗的手术方法是对受假性憩室病影响的空肠进行节段性切除。

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