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大量下消化道出血:克罗恩病的一种罕见并发症。

Massive lower gastrointestinal bleeding: an unusual complication of Crohn's disease.

作者信息

Harvey J C, Rotstein L, Steinhardt M, Reingold M M, Rubin E, Stone R M

出版信息

Can J Surg. 1978 Sep;21(5):444-5.

PMID:309787
Abstract

Massive rectal bleeding may complicate Crohn's disease at any stage and tends to be persistent. Limited experience gained with this complication supports the use of selective agiography followed by conservative resection as the management of choice. Results of experimental studies suggest that selective infusion of vasopressors may be safely attempted when hemorrhage complicates Crohn's disease in its early stages but is probably too hazardous in cases in which the disease is more advanced.

摘要

大量直肠出血可能在克罗恩病的任何阶段出现并复杂化,且往往持续存在。针对这种并发症的经验有限,支持采用选择性血管造影,随后进行保守性切除作为首选治疗方法。实验研究结果表明,当出血使早期克罗恩病复杂化时,可安全尝试选择性输注血管加压素,但在疾病更严重的情况下可能过于危险。

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