论文部分内容阅读
目的探讨食管贲门黏膜撕裂综合征的临床特点及治疗效果。方法回顾性分析云南省第二人民医院2011年1月至2013年12月确诊的40例食管贲门黏膜撕裂综合征患者的临床资料,胃镜下表现、诊断及治疗效果。结果 40例患者胃镜检查后治疗7~15 d痊愈出院,无一例再发出血,无并发症发生,无转外科手术治疗病例,出院后随访1~3个月病变无复发。结论食管贲门黏膜撕裂综合征起病急,急诊内镜是确诊的可靠手段,对于无活动性出血者,内科保守治疗可治愈,对于活动性出血伴血管裸露者,内镜下钛夹止血是一种安全、有效的治疗方法。
Objective To investigate the clinical features and therapeutic effects of esophageal and gastric cardial tear syndrome. Methods The clinical data, endoscopic findings, diagnosis and treatment of 40 patients with esophageal and gastric cardial tearing syndrome confirmed by the Second People’s Hospital of Yunnan Province from January 2011 to December 2013 were retrospectively analyzed. Results Forty patients were cured after gastroscopy for 7-15 days and discharged without any recurrence of bleeding. No complications occurred. No cases were treated with surgical operation. All cases were followed up for 1 to 3 months after discharge without recurrence. Conclusion Esophageal and gastric mucosal tearing syndrome onset urgent, emergency endoscopy is a reliable method of diagnosis, for no active bleeding, conservative treatment can be cured, for active bleeding with bare blood vessels, endoscopic titanium clip to stop bleeding is A safe and effective treatment.