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目的 总结急性下消化道出血的诊断与处理经验。方法 对 1 8例急性下消化道出血病因、诊断、处理进行回顾性分析。结果 急性下消化道出血以大肠肿瘤多见 ,占 4 4 4 %。除全部肛检等一般检查外 ,8例行结肠镜占 4 4 4 %。 1 3例手术占 72 2 %。其中紧急手术 7例占 38 9% ,术后出血止。结论 急性下消化道出血以纤维结肠镜为首选 ;对保守治疗出血不止积极行病因检查与紧急手术探查 ,术中配合肠镜检查有利发现病灶 ,指导手术治疗
Objective To summarize the experience of diagnosis and treatment of acute lower gastrointestinal bleeding. Methods 18 cases of acute lower gastrointestinal hemorrhage, diagnosis and treatment were retrospectively analyzed. Results Acute lower gastrointestinal bleeding was more common in colorectal tumors, accounting for 44.4%. In addition to the general examination such as anal examination, 8 routine colonoscopy accounted for 444%. 1 3 cases of surgery accounted for 72 2%. 7 cases of emergency surgery accounted for 38 9%, postoperative bleeding only. Conclusions Acute lower gastrointestinal bleeding is the first choice of colonoscopy. The conservative treatment of bleeding is not only positive etiological examination and emergency surgical exploration, intraoperative colposcopy is conducive to the discovery of lesions, guide the surgical treatment