胶囊肠镜诊断蓝色橡皮疱痣综合征两例报道合并文献复习-临床医学专业论文.docxVIP

浙江大学硕f。研究生学位论文步讨论胶囊内镜在诊断消化道疾病中的作用，特别是对不明原因的消化 浙江大学硕f。研究生学位论文 步讨论胶囊内镜在诊断消化道疾病中的作用，特别是对不明原因的消化 道出血的诊断意义。 方法：采用病例报道加上文献复习的形式。2005年3月至12月我院收 治2例由胶囊肠镜诊断的BRBNS，对其临床表现、各项辅助检查及诊断、 处理进行详细的报道，并经在术后半年进行电话随访。同时结合近10 年国内报道的12例BRBNS，分析成文。 结果：BRBNS是临床罕见病，因其多累及小肠，表现为不明原因的长期 慢性消化道出血，亦为l临床疑难疾病。在临床上开展胶囊内镜检查有助 于早期发现、早期诊治诸如BRBNS的不明原因消化道出血疾病。 关键词：蓝色橡皮疱痣综合征胶囊内镜消化道出血 浙江大学硕士研究生学位论文Blue 浙江大学硕士研究生学位论文 Blue rubber bleb nevus syndrome diagnosed by capsule endoscopy：case report and literature review Postgraduate Hu Jieqiong Supervisor ChenChunxiao Abstract Background：Blue rubber-bleb nevus syndrome is a rare disease with a ratio of 1：14000．This disorder manifested by skin，gastrointestinal and other internal organs’hemangiomas，which lead to gastrointestinal bleeding and anemia．It was first reported by Gascogen in 1860，and one hundred years Iater Bean describe these lesions and coined the term BRBNS in 1958．So people also call it Bean’S syndrome．This disease usually leading to gastrointestinal bleeding and iron deficiency anemia．The diagnosis is usually made on clinical presentation and edoscopy．And capsule endoscopy which Was first reported by Iddan Gavriel in 2000 is a HeW method to find the lesions in small intestine effectively 0bjeetive：To find out what is BRBNS(Blue rubber--bleb nevus syndrome)，include its clinical manifestation，examination，diagnosis and differential diagnosis，and theropy．Discuss the position of capsule endoscopy indiagnosis． 3 浙江大学硕士研究生学位论文Method：Introduce 浙江大学硕士研究生学位论文 Method：Introduce the disease and new examination as a case report and literature review．Report two cases of young man with Blue rubber bleb nevus syndrome diagnosed by capsule endoscopy．Both of them presented to hospital with recurrent melena and had skin lesions．And also have a review On the 12 cases reported in China in the last 10 years． Result：Blue mbber-bleb nevus syndrome is a rate disease，which lead to gastroIntestinal bleeding and anemia．Reports showed that small bowel is the most frequently involv