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Dieulafoy病并不少见,常因上消化道大出血来院。因发病凶险及临床表现特殊,我们诊治2例报道如下。例1,男,55岁,因呕血1400ml,黑便1次约250ml2天入院。发病前无明显诱因及特殊病史。给予洛赛克、H-2受体拮抗剂治疗。第4天,突然心悸,又突然吐血2次,并约1800ml,无黑便,血压下降到7/4kPa。经输血输液准备后急诊手术。采用腹壁小切口,暴露胃后,行胃镜检查(经口及食道插入),见胃腔内大量血
Dieulafoy disease is not uncommon, often because of upper gastrointestinal bleeding to the hospital. Because of the risk of dangerous and clinical manifestations of special treatment, we reported 2 cases are reported below. Example 1, male, 55 years old, due to hematemesis 1400ml, black then 1 about 250ml 2 days admission. Before the onset of no obvious incentive and special medical history. Give Losec, H-2 receptor antagonist treatment. Day 4, sudden heart palpitations, and suddenly vomiting blood 2 times, and about 1800ml, no meconium, blood pressure dropped to 7 / 4kPa. After transfusion transfusion emergency surgery. Using a small incision in the abdominal wall, exposing the stomach, endoscopy (oral and esophageal), see a large number of blood in the stomach