Marcuard S P, Weinstock J V
Department of Medicine, Wayne State University School of Medicine, Hutzel Hospital Medical Unit, Detroit, Michigan.
J Clin Gastroenterol. 1988 Oct;10(5):482-4. doi: 10.1097/00004836-198810000-00003.
We identified angiodysplasia as a cause of gastrointestinal bleeding in 15 of 47 patients (32%) with chronic renal failure (CRF) treated with dialysis who were evaluated for upper or lower gastrointestinal hemorrhage during a 5-year period. Nine patients had lesions in the upper, four in the lower, and two in the upper and lower gastrointestinal tract. Ten patients with angiodysplasia experienced more than one bleeding episode during that time. Active hemorrhage from a vascular lesion was seen in nine patients (60%). Erosive gastritis and/or duodenitis was the second most common finding. These data confirm how frequent a cause of recurrent bleeding angiodysplasia is in patients with CRF undergoing dialysis.
在5年期间接受评估以排查上消化道或下消化道出血的47例接受透析治疗的慢性肾衰竭（CRF）患者中，我们确定血管发育异常是15例（32%）患者胃肠道出血的病因。9例患者的病变在上消化道，4例在下消化道，2例上下消化道均有病变。10例患有血管发育异常的患者在那段时间经历了不止一次出血事件。9例患者（60%）可见血管病变活动性出血。糜烂性胃炎和/或十二指肠炎是第二常见的发现。这些数据证实了血管发育异常在接受透析的CRF患者中是复发性出血多么常见的一个病因。
