摘要
目的探讨急诊内镜对上消化道出血的诊断和治疗价值。方法选择我院收治的183例上消化道出血患者,总结24h内行急诊内镜检查的结果。结果183例上消化道出血患者明确诊断178例,诊断率97.3%;急诊内镜下治疗32例,成功29例,治疗成功率90.6%;按Forrest分级,FⅠa、FⅠb和FⅡa共26例(FⅡa级以上)消化性溃疡病者给予注射治疗,Ⅱb+Ⅱc+Ⅲ级占76.4%,中青年组与老年组在上消化道出血病因分布上有显著性差异。结论急诊内镜在上消化道出血的诊治上安全性好,具有很高的实用价值。
Objective To investigate diagnostic and therapeutic values of emergency endoscopy for upper gastrointestinal （UGI） bleeding. Methods One hundred and eighty-three patients with UGI bleeding were examined with endoscope. Results One hundred and seventy-eight patients of the total were diagnosed clearly and the diagnostic rate was 97.3%. Thirty-two patients were treated with emergency endoscope, 29 cases were successful operated. The therapeutic rate was 90.6%. Twenty-six patients with peptic ulcer（according to 《Forrest grade》 F Ⅱ a ） were treated with injection therapy, the total portion of FⅡb ,FⅡc and FⅢ was 76,4%.There was significant difference in etiological factor of UGI bleeding between middle-youth-aged group and old-aged group, Conclusions Emergency endoscopy is a safe and useful way to diagnosis and therapy of UGI bleeding.
出处
《北京医学》
CAS
2005年第9期531-533,共3页
Beijing Medical Journal
