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[血管发育异常——胃肠道出血的一个原因]

[Angiodysplasia - a cause of gastrointestinal bleeding].

作者信息

Repse S, Obrez I, Baretic-Kolar E, Ursic M, Kovic M

出版信息

Acta Chir Iugosl. 1983;30(1):55-69.

PMID:6603731
Abstract

Angiodysplasia is a rare cause of gastrointestinal bleeding. The lesion has a specific appearance - markedly enlarged closely grouped veins with short channels between veins and arteries. The lesion may occur on any part of the gastrointestinal tract, but it is most often located in cecum. Its clinical manifestations are predominantly seen in patients beyond the age of 55 years. Selective angiography is the most certain way of diagnosing angiodysplasia. It can be diagnosed by endoscopy too. Resection of the inflicted part is the most successful treatment. Sometimes endoscopic coagulation or embolisation lisation have good results too. Three patients with angiodysplasia - a 74-year man, a 65-year woman with angiodysplasia on cecum and a 63-year woman with angiodysplasia on jejunum are shown. The diagnostic and therapeutic problems of this rare illness are discussed.

摘要

血管发育异常是胃肠道出血的罕见原因。该病变具有特定外观——静脉明显扩张且紧密聚集,静脉与动脉之间有短通道。病变可发生于胃肠道的任何部位,但最常位于盲肠。其临床表现主要见于55岁以上的患者。选择性血管造影是诊断血管发育异常最确切的方法。也可通过内镜检查进行诊断。切除患病部位是最成功的治疗方法。有时内镜下凝血或栓塞也有良好效果。展示了三名血管发育异常患者——一名74岁男性、一名盲肠患有血管发育异常的65岁女性和一名空肠患有血管发育异常的63岁女性。讨论了这种罕见疾病的诊断和治疗问题。

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