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胃Dieulafoy ulcer(简称DU)是上消化道大出血的罕见病因之一。我院自1993年4月至1995年9月在电子胃镜下诊治DU4例,现报告如下: 1 一般资料 本组男3例,女1例,年龄36～72岁,平均54岁。4例均系突然大量呕血、黑粪和多次出现休克。其中3例病前有长途旅游、装饰房屋,操办丧事等劳累的诱因。 2 检查 采用日本Pentax EG-2901型电子胃镜,全面仔细检查食管、胃、十二指肠,寻找出血部位。 第1例在十二指肠球部充满新鲜血液,前壁可见喷射状出血;第2例在贲门下4cm,体前壁见一个圆柱形约5～6mm息肉样隆起组织,顶端微凹陷,当镜身刺激病变处,即见动脉直线样喷血,直达对面的胃底部粘
Gastric Dieulafoy ulcer (DU) is one of the rare causes of upper gastrointestinal bleeding. Our hospital from April 1993 to September 1995 in the electronic endoscopy diagnosis and treatment of DU4 cases, are as follows: 1 General information The group of 3 males and 1 female, aged 36 to 72 years, mean 54 years. 4 cases were a sudden massive hematemesis, black manure and repeated shock. Three of them had long-distance travel before illness, decorating houses, handling funeral causes such as fatigue. 2 inspection using Japan Pentax EG-2901-type electronic gastroscope, a comprehensive and detailed examination of the esophagus, stomach, duodenum, to find the bleeding site. The first case in the duodenal bulb is full of fresh blood, the front wall can be seen jet-like bleeding; the second case in the cardia 4cm, the front of the body to see a cylindrical about 5-6mm polypoid uplift of the tissue, the top micro-depression, when The mirror body to stimulate the lesion, that is, see the arteries straight line spurt, directly opposite the stomach sticky