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胃肠道的血管瘤、血管畸形出血并不罕见。但诊断比较困难。为了进一步探索其更有效的诊断和治疗方法,我们总结有病理诊断者28例。报告如下: 1 临床资料本组28例中男17例,女11例,年龄7～77岁,平均年龄48岁。血管畸形11例,血管瘤17例。病程最长10年,最短4天。临床主要表现黑便或便血24例,呕血4例,2次以上出血病史者25例,大出血伴休克4例,手术前均有止血或输血等保守治疗史。血红蛋白低于90g/L者23例,其中5例血红蛋白在30～40g/L。多发病灶(2处以上)5例,其中胃伴十二指肠血管畸形,十二指肠血管畸形,十二指肠血管瘤,小肠伴结肠血管瘤,小肠血管瘤各1例。血管瘤体积最大者8cm×5cm×2cm(1例伴肠梗阻),最小者直径
Gastrointestinal hemangioma and vascular malformation bleeding are not uncommon. However, it is difficult to diagnose. In order to further explore its more effective diagnostic and therapeutic methods, we summarized 28 cases of pathological diagnosis. The report is as follows: 1 Clinical data There were 28 males and 11 females in this group of 28 patients, aged 7 to 77 years and mean age 48 years. There were 11 cases of vascular malformations and 17 cases of hemangiomas. The longest course of illness is 10 years and the shortest 4 days. The main clinical manifestations were black stools or blood in the stool, 24 cases of hematemesis, 4 cases of hematemesis, 25 cases of more than 2 history of hemorrhage, 4 cases of major hemorrhage with shock, history of hemostasis or blood transfusion and other conservative treatment before surgery. There were 23 cases with hemoglobin less than 90 g/L, of which 5 cases had hemoglobin between 30 and 40 g/L. There were 5 cases with multiple lesions (2 or more), including gastric accompanied with duodenal vascular malformation, duodenal vascular malformation, duodenal hemangioma, small intestine with colonic hemangioma, and 1 small intestine hemangioma. Hemangioma volume is the largest 8cm × 5cm × 2cm (1 case with intestinal obstruction), the smallest diameter