Romashov F N, Savov A M, Abashkin Iu A, Tishchenkova V S
Khirurgiia (Mosk). 1996(2):58-60.
In a period of 10 years 38 patients received treatment in the clinic for iron deficiency anemia in whom the source of chronic blood loss was revealed in the small intestine. The radionuclide method for detecting concealed blood loss was most informative for the diagnosis (98%) of chronic intestinal hemorrhages, and was particularly important in cases with iron deficiency anemia of unclear genesis. Oral enterography was the most available method and sufficiently informative (32%) in the diagnosis of chronic hemorrhages from the small intestine. In 3-4 day, blood loss of more than 10 ml/24 h from the gastrointestinal tract verified by the radionuclide method but with the source of the bleeding not identified by instrumental methods, the indications for diagnostic laparotomy must be widened for careful examination of the small intestine.
在10年期间,38例在该诊所接受缺铁性贫血治疗的患者中,发现小肠是慢性失血的源头。放射性核素检测隐匿性失血的方法对诊断慢性肠道出血最为有效(98%),在病因不明的缺铁性贫血病例中尤为重要。口服小肠造影是最常用的方法,对诊断小肠慢性出血也有足够的信息量(32%)。在3 - 4天内,经放射性核素方法证实胃肠道失血超过10 ml/24 h,但通过器械检查未明确出血源头时,必须扩大诊断性剖腹探查的指征,以便仔细检查小肠。