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为确定推进式肠镜对胃肠出血原因不明病人的诊断价值,作者回顾性分析1985～1989年间经推进式肠镜检查的39例患者的资料。病人和方法 39例胃肠道出血表现包括大便潜血阳性17例,黑便15例,酒红色便3例,缺铁性贫血2例和便血2例。从出血到肠镜检查的时间平均为30(0.5～120)个月,因出血至少1次而住院者37例(平均2.2次),30例曾输过血(平均6.5U)。随访时间2周～43个月(平均10.5个月)。术前病人禁食12小时,静脉注射50～100mg 度冷丁或加小剂量安定(2～4mg)。用160cm 长的消毒结肠镜,经口进行检查。插入镜时,病人需转换至仰卧、伏位、右或左侧位及反向 Trendelenburg 位。完
To determine the diagnostic value of a propulsive enteroscopy for patients with unidentified gastrointestinal bleeding, the authors retrospectively analyzed data from 39 patients with advanced enteroscopy between 1985 and 1989. Patients and Methods 39 cases of gastrointestinal bleeding, including fecal positive occult blood in 17 cases, 15 cases of melena, red wine in 3 cases, 2 cases of iron deficiency anemia and 2 cases of blood in the stool. The average time from hemorrhage to colonoscopy was 30 (0.5 to 120) months, with at least 1 hospitalization and 37 hospitalizations (an average of 2.2). Thirty patients had blood transfusions (mean, 6.5 U). Follow-up time was 2 weeks to 43 months (mean 10.5 months). Preoperative patients were fasted for 12 hours, intravenous injection of 50 ~ 100mg cold Ding or plus small doses of stability (2 ~ 4mg). Disinfected with a 160cm long colonoscopy, oral examination. When inserted into the mirror, the patient will need to switch to supine, volt-ampere, right or left, and reverse Trendelenburg. Finish