小児消化管出血 : 特に出血性メッケル憩室の術前診断及び血管性紫斑病の外科的適応について

概要

論文の詳細を見る
A study of 171 children with gastrointestinal bleeding occurring during the past 14 years wa carried out with special references to preoperative diagnosis of bleeding Meckel's diverticulum and surgical aspects of Schonlein-Henoch's purpura. The diagnosis of bleeding Meckel's diverticulum in 3 children was established preoperatively using 99mTc-pertechnetate. These abdominal scannings were of value in the management of patients with rectal bleeding after ruling out other disorders by hematologic tests, usual radiologic studies and endoscopic examinations. Four cases of Schonlein-Henoch purpura who had undergone surgical intervention were reported. Our emphasize is that it is difficult to differentiate pain, vomiting, and bleeding due to purpura from those occurring secondary to coexisting intersusception, but if there is continuing doubt concerning the surgical complications of Schonlein-Henoch's purpura, exploratory operation should be undertaken.
日本小児外科学会の論文
1982-08-20