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本文回顾伦敦St Mark医院1971年1月至1980年11月间5000次结肠镜检查中的并发症并作了分析。大多数检查由一名有经验的内窥镜医师完成,其中70%为全结肠检查,包括1,795次圈套器息肉摘除术、1458次热活检及5,000多次粘膜钳活检。一般并发症包括血栓性静脉炎6例,由静脉注射安定引起;重度腹胀2例,致使检查终止;严重血管迷走神经反应5例,内8例用镇静剂后呼吸停止,需人工呼吸,较轻的反应表现为一过性低血压和心率迟缓。在5000多次粘膜活检中只发生一次出血。1458次应用热活检钳破坏小息肉或毛细血管扩张,未有出血。1795次应
This article reviews and analyzes the complications of 5000 colonoscopies at St. Mark’s Hospital in London from January 1971 to November 1980. Most of the exams were performed by an experienced endoscopist, 70% of whom underwent total colon examination, including 1,795 episodes of snare polyp removal, 1,458 thermal biopsies, and more than 5,000 times of mucosal forceps biopsy. General complications include thrombophlebitis in 6 cases, caused by intravenous injection of stability; severe abdominal distension in 2 cases, resulting in the termination of the examination; severe vasovagal reactions in 5 cases, 8 cases of sedation with respiratory arrest, requiring artificial respiration, a lighter response The performance of transient hypotension and heart rate retardation. In more than 5000 mucosal biopsy occurred only once bleeding. 1458 Applications Thermal biopsy forceps rupture polyps or telangiectasias without bleeding. 1795 times