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例1 吴某,男,21岁,因反复便鲜血7次子1983年6月7日第3次入院。患者曾经我院和外院3次直肠镜和1次纤维结肠镜检查均无异常发现,钡灌肠示左半结肠炎症。每次便血均无明显诱因和腹痛,每次出血突发快止,体检无异常。入院后次日再行直肠镜检查,距肛门14cm 3点处见直径1cm大小片状出血,色鲜红,隆起于粘膜表面,无蒂,与周围粘膜分界清楚。在局部隆起处用活检钳夹取组织后出血不止,用止血粉压迫无效,后用明胶海绵及棉球局部填塞才止血。
Example 1 Wu, male, 21 years old, because of repeated blood 7 times the third hospital on June 7, 1983. Patients in our hospital and outside the hospital 3 times a colonoscopy and colonoscopy were no abnormal findings, barium enema showed left half of the colon inflammation. No significant incentive for each blood in the stool and abdominal pain, bleeding every sudden stop, no abnormal physical examination. The next day after admission re-examination of the colonoscopy, from the anus 14cm 3 o’clock to see the size of 1cm in diameter flaky bleeding, color red, uplift in the mucosal surface, no pedicle, clear boundaries with the surrounding mucosa. Local bumps with biopsy clamp to take more than bleeding after the organization, with hemostatic powder oppression invalid, gelatin sponge and cotton ball after partial filling only to stop bleeding.