摘要目的 探讨诊治下消化道大出血的有效方法.方法 回顾性分析近5年下消化道大出血患者的临床资料,总结诊治经验.结果 60例患者中小肠出血8例,结肠出血41例,直肠肛管出血6例,出血部位不确定5例；保守治疗17例,介入治疗16例,手术治疗27例,无临床死亡患者.结论 下消化道大出血及时有效抢救休克、止血是治疗的重点,确定出血部位和出血原因是难点.

abstractsObjective To study the effective diagnosis and treatment of lower gastrointestinal bleeding(LGIB).Methods The clinical data of patients with lower gastrointestinal bleeding in the past five years were analyzed retrospectively,and the diagnosis and treatment experience were summarized.Results Among the 60 patients with lower gastrointestinal bleeding,there were 8 cases of small intestinal bleeding,41cases of colonorrhagia,6 cases of anal canal and rectum hemorrhage,5 cases of uncertain position bleeding; 17 cases were given conservative treatments,16 cases were given interventional procedures,27 cases were given operative treatments,no case of clinical death.Conclusions The key of treating massive hemorrhage in the lower gastrointestinal tract is to rescue shock and stop bleeding timely and effectively.The difficulty is to determine the position and cause of hemorrhage.