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蓝色橡皮大疱样痣综合征23例临床分析-内科学(消化系病)专业毕业论文.docx

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蓝色橡皮大疱样痣综合征23例临床分析-内科学(消化系病)专业毕业论文.docx

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蓝色橡皮大疱样痣综合征23例临床分析-内科学(消化系病)专业毕业论文.docx

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文档介绍:浙江人学医学院硕士研究生论文关键词蓝色橡皮大疱样痣综合征;静脉血管瘤:消化道出血;贫血;内镜;病例分析2浙江大学医学院硕,L研究生论文Clinicalstudyofpatientswithbluembberblebnaevussyndrome:areportof23casesPostgraduateD,MasterDegree YeHuaSupervisor ·ruingMedicalcollegeofZhejiangUniversity GastroenterologyAbstractobjectiveToimprovetheunderstandingofthenaturalhistoryofbluembberblebnaeVUSsyndrome(BRBNS)bytheanalysisofpathogenesis,clinicalfeatures,diagnosis, Amongthe23’patients,16casesweremale(70%),and7caseswerefemale(30%).Meanagewas21±18yearsold(range,2t075yearseld).Meanhemoglobinlevelwas56___21班h1case,(22/23,96%),trunk(22/23,96%)andface(6/23,30%),inwhich1lesionextendintounderlyingjoint,.,andlesionswc”foundinoralcavity(2/23,9%),esophagus(7/23,30多6),stomach(10/23,43%),smallbowel(16/23,69%),colon(11/23,48%),rectum(4/23,17%),especiallyandileum(13/23,57%).Othersitesofinvolvementwerefoundin9cases(39%).5casesofwhichwereliver,(70%)(9%)plaintofmelenaorbloodystool,(91%).BRBNSwerediagnosedwithbariumstudies(4/23,17%),gastroscopy(4/23,17%),coloscopy(10/23,3浙江大学医学院硕士研究生论文43%),smallintestinalendoscopy(2/23,9%),capsuleendoscopy(2/23,9%),andexploratorylaparotomy(5/23,22%).In2cases,CTshowedothersitesofinvolvement,in1caserinoscopyshowednasalcarityvascularmalformation,,eitherof2caserecurredduringonemonthfollow—