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Objective. To improve the localized diagn osis of insidious recurrent small intestinal hemorrhage.Methods. This retrospective analysis include 64 cases of such diseases, which were admitted from 1988 to 1998 to our hospital.Result. Ultrasonography, CT, small bowel pneumobariumgraphy, diluted barium enema, isotopic examination,DSA and intraoperative small-bowel endoscopy were used for diagnosis of hemorrhagic site, and 37 cases got a definite location before operation, while 10 cases were confirmed the diagnosis during the operation. Forty-seven cases were treated surgically, while the other 17 cases had non-surgical treatment. Of the 47 cases,39 cases underwent partual enterectomy, 5 cases had suture and ligature of vascular deformity, 2 cases had Whipple' s operation, and one patient had ectomy of the end of ileum and right colon.Conclusion. DSA, Isotopic examination and intraoperative enteroscopy are of considerable importance for the location judgement of recurrent small intestinal hemorrhage.
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小肠出血诊断方法的评价
小肠占胃肠道全长的3/4左右,粘膜面积的90%以上,但其出血仅占胃肠道出血的3%～5%.除大量出血外,小肠出血常难于诊断.小肠长4～6 m,肠襻间相互重叠、蠕动和收缩使肠段在腹腔内的部位可以变化不定,且小肠出血常是慢性或间歇性的,所有这些都给其诊断带来一定困难[1].
