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病儿,男,5岁。因排暗红色血便3天急诊入院,无呕吐,无阵发性腹痛。查体,急性失血面容,心肺正常,腹平软,脐周轻度压痛,未扪及包块,肝脾未扪及,肠鸣活跃,未闻及气过水声,肛门指检,指套染有暗红色血液,直肠无息内。腹部X片未发现异常。入院后经补液、应用止血药及输血200ml等治疗,便血未停止,量约200ml～400ml/日,血红蛋白降至60g/L。胃肠减压抽出浅黄色胃液。诊断为肠道血管畸形、破裂出血,入院36小时后急诊剖腹探查。 术中所见:术中发现距Treitz韧带约40cm处以下空肠7
Sick child, male, 5 years old. Due to the row of dark red bloody stool 3 days emergency admission, no vomiting, no paroxysmal abdominal pain. Check the body, acute blood loss, normal heart and lungs, abdominal soft, slight tenderness around the umbilical cord, palpable mass, the liver and spleen not palpable, bowel sounds active, no smell of gas over the water, anal fingering, finger sets Dyed dark red blood, rectum and interest-free. Abdominal X-ray was found no abnormalities. After admission by rehydration, application of hemostatic drugs and blood transfusion 200ml and other treatment, blood in the stool has not stopped, the amount of about 200ml ~ 400ml / day, hemoglobin dropped to 60g / L. Gastrointestinal decompression out of light yellow gastric juice. Diagnosis of intestinal vascular malformations, rupture of bleeding, emergency laparotomy 36 hours after admission. Intraoperative findings: intraoperative findings from the Treitz ligament about 40cm below the jejunum 7