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目的:提高临床医师对胃Dieulafoy病的认识,探讨胃Dieulafoy病的诊治方法。方法回顾分析本院4例胃Dieulafoy病的临床资料并复习文献,提出诊治方法。结果4例患者临床表现均为大量呕血、黑便、休克。病灶位于胃贲门部2例,胃窦部小弯侧1例,胃角1例。4例均经手术治疗,其中血管缝扎2例,胃局部楔形切除2例,所有患者均获痊愈。结论该病临床特点为突发性、难治性出血,病变多位于胃左动脉供血区。治疗方法主要选择内镜下治疗和手术治疗。
Objective: To improve clinicians understanding of Dieulafoy’s disease and to explore the diagnosis and treatment of gastric Dieulafoy’s disease. Methods The clinical data of 4 patients with Dieulafoy’s disease in our hospital were retrospectively analyzed and reviewed, and the diagnosis and treatment methods were proposed. Results The clinical manifestations of 4 patients were massive hematemesis, melena, shock. Focal lesions were located in the stomach cardia in 2 cases, 1 case of lesser curvature of the antrum, gastric corner in 1 case. All the 4 cases were surgically treated, including 2 cases of vascular suture and 2 cases of local wedge resection. All patients were cured. Conclusion The clinical features of the disease are sudden and refractory bleeding, the lesions are located in the left gastric artery supply area. The main treatment options endoscopic treatment and surgical treatment.