Matake H, Matsui T, Yao T
Department of Gastroenterology, Fukuoka University Chikushi Hospital.
Nihon Rinsho. 1998 Sep;56(9):2349-53.
Acute massive hemorrhage from CD occurred in 3.0% in our institution. Forty CD patients with massive hemorrhage were reported in last 20 years in Japan. The ratio of male to female was 7.0. Ninety percent of them complicated the small intestinal CD. Massive bleeding was seen mostly in the ileum (82.5%) and next was in the colon (12.5%). However massive gastrointestinal hemorrhage is not often complicated in Crohn's disease, acute massive hemorrhage is occasionally critical. Therefore it is considered that CD should be treated carefully.
在我们机构中,3.0%的克罗恩病(CD)患者发生急性大出血。过去20年里,日本报道了40例发生大出血的CD患者。男女比例为7.0。其中90%合并小肠克罗恩病。大出血大多发生在回肠(82.5%),其次是结肠(12.5%)。然而,尽管克罗恩病很少并发大量胃肠道出血,但急性大出血偶尔也会很严重。因此,认为对克罗恩病应谨慎治疗。