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克罗恩病所致的大量胃肠道出血：通过动脉内输注血管加压素成功控制

Massive gastrointestinal bleeding in Crohn's disease: successful control by intra-arterial vasopressin infusion.

作者信息

Mellor J A, Chandler G N, Chapman A H, Irving H C

出版信息

Gut. 1982 Oct;23(10):872-4. doi: 10.1136/gut.23.10.872.

DOI:10.1136/gut.23.10.872
PMID:6981537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1419820/
Abstract

A case of massive lower gastrointestinal bleeding from Crohn's disease is reported. This is an uncommon complication of the disease and the literature is reviewed. Successful control of gastrointestinal bleeding by intra-arterial vasopressin infusion has not previously been reported in Crohn's disease. We suggest that this technique may be used in an attempt to avoid surgery.

摘要

报告了一例因克罗恩病导致的大量下消化道出血病例。这是该疾病一种罕见的并发症，并对相关文献进行了综述。此前尚无在克罗恩病中通过动脉内输注血管加压素成功控制胃肠道出血的报道。我们建议可尝试使用该技术以避免手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41c1/1419820/f98ff761e0dd/gut00419-0093-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41c1/1419820/463488a3d1d9/gut00419-0093-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41c1/1419820/f98ff761e0dd/gut00419-0093-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41c1/1419820/463488a3d1d9/gut00419-0093-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41c1/1419820/f98ff761e0dd/gut00419-0093-b.jpg

相似文献

1
Massive gastrointestinal bleeding in Crohn's disease: successful control by intra-arterial vasopressin infusion.克罗恩病所致的大量胃肠道出血：通过动脉内输注血管加压素成功控制
Gut. 1982 Oct;23(10):872-4. doi: 10.1136/gut.23.10.872.
2
Revisiting the past: intra-arterial vasopressin for severe gastrointestinal bleeding in Crohn's disease.重温过去：动脉内加压素治疗克罗恩病严重胃肠道出血。
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引用本文的文献

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Crohn's disease presenting as acute gastrointestinal hemorrhage.以急性胃肠道出血为表现的克罗恩病。
World J Gastroenterol. 2016 Apr 28;22(16):4073-8. doi: 10.3748/wjg.v22.i16.4073.
2
Infliximab stopped severe gastrointestinal bleeding in Crohn's disease.英夫利昔单抗可停止克罗恩病的严重胃肠道出血。
World J Gastroenterol. 2012 Jun 7;18(21):2730-4. doi: 10.3748/wjg.v18.i21.2730.
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Multiple pathogenic roles of microvasculature in inflammatory bowel disease: a Jack of all trades.微血管在炎症性肠病中的多种致病作用：多面手

本文引用的文献

1
RADIOGRAPHIC DEMONSTRATION OF UNKNOWN SITES OF GASTROINTESTINAL BLEEDING.不明部位胃肠道出血的影像学表现
Surg Forum. 1963;14:374-5.
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Angiographic studies in Crohn's disease and ulcerative colitis.
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The pseudo-vein: an angiographic appearance of arterial hemorrhage.
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Am J Pathol. 2008 Jun;172(6):1457-66. doi: 10.2353/ajpath.2008.070593. Epub 2008 May 5.
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Crohn's disease with life-threatening hemorrhage from terminal ileum: successful control by superselective arterial embolization.克罗恩病伴回肠末端危及生命的出血：经超选择性动脉栓塞成功控制
J Gastroenterol. 2005 Dec;40(12):1155-7. doi: 10.1007/s00535-005-1714-9.
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Massive Lower Gastrointestinal Hemorrhage in Crohn's Disease.克罗恩病中的大量下消化道出血
Curr Treat Options Gastroenterol. 2000 Jun;3(3):211-216. doi: 10.1007/s11938-000-0024-9.
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Massive gastrointestinal bleeding in Crohn's disease.克罗恩病中的大量胃肠道出血。
J R Soc Med. 1985 Aug;78(8):628-9. doi: 10.1177/014107688507800805.
Clinical experience with selective intra-arterial infusion of vasopressin in the control of gastrointestinal bleeding from arterial sources.
选择性动脉内输注血管加压素控制动脉源性胃肠道出血的临床经验。
Am J Surg. 1972 Feb;123(2):165-72. doi: 10.1016/0002-9610(72)90328-5.
5
Acute massive hemorrhage from intestinal Crohn disease. Report of seven cases and review of the literature.
Arch Surg. 1976 Aug;111(8):901-5. doi: 10.1001/archsurg.1976.01360260069019.
6
Crohn's disease presenting with massive lower gastrointestinal hemorrhage.以大量下消化道出血为表现的克罗恩病。
AJR Am J Roentgenol. 1978 Feb;130(2):368-70. doi: 10.2214/ajr.130.2.368.
7
Massive lower gastrointestinal bleeding: an unusual complication of Crohn's disease.大量下消化道出血：克罗恩病的一种罕见并发症。
Can J Surg. 1978 Sep;21(5):444-5.