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目的探讨美克尔憩室并发消化道出血的临床表现及诊治方法。方法回顾性分析本院1998年1月~2003年12月间因消化道出血住院,确诊为美克尔憩室的32例患者的临床资料。结果32例患儿均经电子胃肠镜检查未发现出血性病灶,行腹腔镜检查确诊为美克尔憩室并行手术切除。结论美克尔憩室并发消化道出血主要表现为便血,电子胃肠镜检查排除消化道其它疾病后行腹腔镜检查是诊断和治疗美克尔憩室的重要手段。
Objective To investigate the clinical manifestations and diagnosis and treatment of merkel diverticulum complicated with gastrointestinal bleeding. Methods The clinical data of 32 patients diagnosed as Meckel’s diverticulum admitted to our hospital from January 1998 to December 2003 due to gastrointestinal bleeding were retrospectively analyzed. Results 32 cases of children were electron gastrointestinal endoscopic examination found no hemorrhagic lesions, laparoscopic diagnosis of merkel diverticulum concurrent surgical resection. Conclusions The main manifestations of mei Keer diverticulum complicated by gastrointestinal bleeding are blood in the stool. It is an important method to diagnose and treat the meridian diverticulum after gastrointestinal endoscopy exclusion of other diseases of the digestive tract.