[迪厄拉富瓦氏血管病]

[Dieulafoy's vascular disease].

作者信息

Ponce González J F, Barriga Beltrán R, Prendes Sillero E, Japón Rodríguez M A, Morales Méndez S

出版信息

Rev Esp Enferm Apar Dig. 1989 Dec;76(6 Pt 1):563-6.

Abstract

Four cases are reported of upper gastrointestinal hemorrhage caused by Dieulafoy's vascular disease treated in our service over the last 15 years. In all these patients bleeding was from an unusually long artery with a tortuous trajectory through the gastric submucosa that eroded the mucosa and caused blood loss. In 75% of the cases it was located 6 cm below the gastroesophageal junction, near the small curvature. The diagnosis is usually made by endoscopy or during emergency gastrostomy. The most effective therapeutic measure is surgical resection.

摘要

本文报告了过去15年中在我们科室治疗的4例由迪厄拉富瓦血管病引起的上消化道出血病例。在所有这些患者中，出血均来自一条异常长的动脉，该动脉在胃黏膜下层呈迂曲走行，侵蚀黏膜并导致失血。75%的病例位于胃食管交界处下方6厘米处，靠近小弯侧。诊断通常通过内镜检查或在急诊胃造口术期间做出。最有效的治疗措施是手术切除。