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目的 探讨经内镜钛夹治疗消化性溃疡合并大出血的价值。方法 4 0例消化性溃疡合并大出血病人采用经内镜钛夹止血。另 4 0例消化性溃疡合并大出血病人采用静脉内注射质子泵抑制剂作为对照。结果 内镜治疗组病人 90 % (36 /4 0 )入院后 1 2小时内止血 ,1人 (2 5 % )转外科手术 ,输血量 4 0 0～ 1 5 0 0ml(平均 80 0ml)。药物治疗组病人 2 2 5 % (9/ 4 0 )入院后 1 2小时内止血 ,2 6人 (6 5 % )转外科手术 ,输血量 6 0 0～ 30 0 0ml(平均 1 5 0 0ml)。两组比较有非常显著性差异。结论 经内镜放置钛夹是一种安全有效的治疗消化性溃疡合并大出血的方法
Objective To investigate the value of endoscopic titanium clips in the treatment of peptic ulcer combined with hemorrhage. [Methods] 40 patients with peptic ulcer complicated with bleeding were treated with endoscopic titanium clip to stop the bleeding. Another 40 patients with peptic ulcer bleeding patients with intravenous injection of proton pump inhibitor as a control. Results 90% (36/40) of the patients in the endoscopic treatment group had hemostasis within 12 hours after admission and 1 (25%) had surgery. The volume of blood transfusion was between 400 and 150 ml (mean 80 0 ml). The patients in the drug-treated group had a rate of 2250% (940) hemostasis within 12 hours after admission and 26 (65%) surgeries with a blood transfusion of 600 to 3000 ml (average 1550 ml) . There was a very significant difference between the two groups. Conclusion Endoscopic placement of titanium clips is a safe and effective method for the treatment of peptic ulcer with hemorrhage