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小肠病变引起出血者的诊断不易,作者遇到两例空肠曲张动脉瘤引起的胃肠道出血,并结合文献报道进行复习.病例1,58岁,男性,有吸毒成瘾、高血压、心肌病、心衰、肝炎等病史.因便鲜血一日入院,呈低血容量休克.输液和输血后病人开始复苏,胃镜和结肠镜检未找到出血病灶,血管造影显示肠系膜上动脉的中段空肠分支有造影剂溢出,剖腹探查发现在距十二指肠悬韧带约20cm处有一直径0.5cm的出血粘
Small intestine lesions caused by the diagnosis of bleeding is not easy, the author encountered two cases of gastrointestinal bleeding caused by jejunal aneurysms, combined with the literature review. Case 1,5-year-old male, addiction, hypertension, cardiomyopathy , Heart failure, hepatitis and other medical history .Because the blood admission on the 1st, was hypovolemic shock .Infusion and blood transfusion patients began to recover, gastroscopy and colonoscopy found no hemorrhagic lesions, angiography showed superior mesenteric artery in the middle of the jejunum branch Contrast agent overflow, laparotomy found in a distance of about 20cm from the duodenal suspensory ligament at a diameter of 0.5cm bleeding sticky