下消化道出血临床常见,病因繁多。急性大量出血常常会危及生命,尤其对老年病人伴有心脑血管疾病者,其诊断、治疗在临床上均有一定困难。我院采用凝血酶灌肠法在处理急性下消化道大出血中取得良好效果,一方面起止血治疗作用,同时为结肠镜检查做好肠道清洁准备。本文总结了我院1997-2002年收治的急性下消化道出血30例的诊治经验,探讨如何进一步提高诊治水平。 Clinical lower gastrointestinal bleeding common, many causes. Acute massive bleeding often endangers life, especially for elderly patients with cardiovascular and cerebrovascular diseases, its diagnosis and treatment in clinical have some difficulties. Our hospital using thrombin enema in the treatment of acute lower gastrointestinal bleeding have achieved good results, on the one hand the role of hemostasis, while doing colonoscopy for colon clean preparation. This article summarizes the diagnosis and treatment of 30 cases of acute lower gastrointestinal bleeding admitted to our hospital from 1997 to 2002 to explore how to further improve the diagnosis and treatment.