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探讨上消化道出血急诊胃镜检查及内镜下喷洒凝血酶止血的效果 ,选择 2 4小时内有呕血或黑便者6 3例行急诊内镜检查 ,对活动性出血者在胃镜下喷洒凝血酶。 5 2例小静脉和毛细血管出血 ,1次止血成功 ,成功率1 0 0 % ;1 1例小动脉出血 ,2次止血成功 ,其中 1例胃癌性出血 ,第 5天再次出血 ,再出血率 1 .5 9%。提示对上消化道出血应该及时行内镜检查 ,活动出血灶喷洒凝血酶疗效确切 ,方便易行 ,是一项可靠的治疗方法
To investigate the effect of upper gastrointestinal bleeding endoscopy and endoscopic spraying of thrombin to stop bleeding, select 24 hours of hematemesis or melena 6 3 routine emergency endoscopy, active bleeding in the endoscopy spray thrombin . Fifty-two cases of venules and capillaries hemorrhage were successfully treated with one hemostasis, with a success rate of 100%. One hundred and one arteriole hemorrhage and two hemostasis were successful. One case had gastric cancer hemorrhage and the other was bleeding again on day five. 1.59%. Tip on the upper gastrointestinal bleeding endoscopic examination should be timely, the activity of bleeding thrombus spray thrombosis curative effect is easy and convenient, is a reliable treatment