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目的观察Dieulafoy病(DL)内镜特点,提高对DL的认识。方法选择2005年11月至2010年5月本院发现的13例DL患者内镜及临床资料进行回顾性分析。结果 DL主要临床表现是上消化道出血,可见于各年龄段,男性多见,40～60岁多发。少有前驱症状或溃疡病史,突然发病,周期性发作,出血隐匿,临床表现缺乏特异性。结论 DL可发生于消化道任何部位,胃贲门下方多见,胃镜检查可明确诊断。
Objective To observe the endoscopic features of Dieulafoy’s disease (DL) and to improve the understanding of DL. Methods The endoscopic and clinical data of 13 patients with DL who were found in our hospital from November 2005 to May 2010 were retrospectively analyzed. Results The main clinical manifestations of DL are upper gastrointestinal bleeding, which can be seen in all age groups. Men are more common and frequently occur in 40-60 years old. Less prodromal symptoms or history of ulcers, sudden onset, recurrent seizures, occult bleeding, lack of specificity of clinical manifestations. Conclusion DL can occur in any part of the digestive tract, stomach more common under the cardia, gastroscopy can confirm the diagnosis.