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目的探讨金属钛夹治疗上消化道活动性出血的临床效果。方法对海军安庆医院68例上消化道活动性出血病例,其中溃疡活动性出血45例、胃Dieulafoy病变5例、息肉电切术后12例、贲门黏膜撕裂6例。分别接受1～5枚金属钛夹治疗,术中术后观察出血情况。结果68例首次止血率100%,8例48h再出血,经胃镜检查均为金属钛夹脱落,其中6例经再次金属钛夹止血成功,2例为巨大溃疡出血再次金属钛夹止血未获成功,转外科手术治疗。总有效率97.06%,本组无穿孔并发症。结论采用胃镜下金属钛夹治疗上消化道活动性出血可取得较好的临床效果。
Objective To investigate the clinical effect of metallic titanium clips in treating upper gastrointestinal bleeding. Methods A total of 68 patients with active bleeding from the upper gastrointestinal tract were studied in Anqing Hospital. Among them, 45 were ulcer active bleeding, 5 were gastric Dieulafoy’s disease, 12 after polypectomy and 6 were cardial mucosal tear. Were treated with 1 to 5 metal titanium clip treatment, intraoperative and postoperative bleeding observed. Results 68 cases of the first hemostasis rate of 100%, 8 cases of 48h rebleeding after gastroscopy were titanium clip off, of which 6 cases of titanium clip again to stop bleeding, 2 cases of ulcer bleeding again metal titanium clip to stop bleeding without success , Transferred to surgical treatment. The total efficiency of 97.06%, the group no perforation complications. Conclusion The endoscopic treatment of upper gastrointestinal bleeding with endoscopic titanium clips can achieve better clinical results.