Dieulafoy(迪厄拉富瓦氏病)氏病是指消化道大出血较少见的病因之一,病势凶险,因缺乏特异性,易误诊,常因休克死亡。近年,随着急诊胃镜开展,国内已有陆续报道,为提高对本病的认识,现就其研究现状作一综述。 1 概况与发病机理 本病系1898年Dieulafby氏报告一组“胃粘膜微小缺损,伴基底部动脉破裂出血”的病例,故而得名。文献中命名颇 Dieulafoy’s disease is one of the lesser causes of gastrointestinal hemorrhage. Due to the lack of specificity, it is easily misdiagnosed and often dies of shock. In recent years, with the emergency gastroscope carried out, has been reported in China, in order to improve awareness of the disease, is now on its research status to be reviewed. 1 Overview and pathogenesis The disease in 1898 Dieulafby’s report of a group of “small gastric mucosal defects, with basilar artery rupture bleeding,” the case, hence the name. Literature named quite