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小肠疾病致消化道出血是消化道出血诊断治疗中的难点,其常见的病因主要包括小肠肿瘤,小肠血管性疾病,小肠炎性疾病。均为临床少见疾病,且极易误诊,导致严重后果。目前辅助检查主要依靠胶囊内镜、小肠镜、选择性动脉造影、核素扫描,必要时可考虑开腹探察,但手术探察诊断率不高,且风险较大。治疗时务须首先保证生命体征平稳,其次要明确诊断,在此基础上再考虑进一步治疗。包括保守治疗及外科手术治疗。
Small intestine disease caused by gastrointestinal bleeding is the diagnosis and treatment of gastrointestinal bleeding difficulties, the common causes include intestinal tumors, small bowel vascular disease, inflammatory bowel disease. Are rare clinical disease, and extremely misdiagnosed, leading to serious consequences. At present, the main auxiliary examination rely on capsule endoscopy, enteroscopy, selective arteriography, radionuclide scanning, if necessary, can consider open exploration, but the surgical exploration diagnostic rate is not high, and the risk. Treatment should be the first to ensure stable vital signs, followed by a clear diagnosis, on the basis of further consideration of this treatment. Including conservative treatment and surgical treatment.