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目的 :探讨Dieulafoy病的临床特点及治疗手段。方法 :对 5例诊断明确的Dieulafoy病的临床起病、转归及治疗预后的情况进行分析。结果 :首次诊断临床误诊率近 75 % ,年轻内镜医生缺乏对本病的认识和警惕 ;确诊后经内镜治疗大多是有效的。结论 :对反复发作的消化道出血患者要考虑少见病存在的可能 ,并及时进行有经验的内镜医师进行胃镜检查 ,以避免误诊误治
Objective: To investigate the clinical features and treatment of Dieulafoy’s disease. Methods: The clinical onset, outcome and prognosis of 5 diagnosed Dieulafoy disease were analyzed. Results: The first diagnosis of clinical misdiagnosis rate of nearly 75%, young endoscopy doctors lack awareness and vigilance of the disease; confirmed by endoscopic treatment are mostly effective. Conclusion: Patients with recurrent gastrointestinal bleeding should consider the possibility of rare disease, and timely endoscopy carried out by endoscopy gastroscopy to avoid misdiagnosis and mistreatment