Vellacott K D
Ann R Coll Surg Engl. 1986 Sep;68(5):243-4.
A personal prospective study of the value of early lower gastrointestinal endoscopy on patients admitted as emergencies with acute colorectal haemorrhage is presented. Thirty two patients were studied of whom 13 had severe continued colonic haemorrhage. A correct diagnosis was made in 20 (62.5%) and an incorrect diagnosis in 3 (9%). In only 3 was the examination terminated due to excessive blood. There was one serious complication of septicaemia in a patient with an arterio-enteric fistula. It is concluded that early colonoscopy for lower gastrointestinal bleeding is worthwhile.
本文介绍了一项针对因急性结直肠出血而急诊入院患者的早期下消化道内镜检查价值的个人前瞻性研究。共研究了32例患者,其中13例有严重持续性结肠出血。20例(62.5%)诊断正确,3例(9%)诊断错误。仅3例因出血过多而终止检查。1例患有动脉肠瘘的患者发生了败血症这一严重并发症。结论是早期结肠镜检查用于下消化道出血是值得的。