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目的探讨急诊内镜对上消化道出血的诊断和治疗价值。方法选择我院收治的183例上消化道出血患者,总结24h内行急诊内镜检查的结果。结果183例上消化道出血患者明确诊断178例,诊断率97.3%;急诊内镜下治疗32例,成功29例,治疗成功率90.6%;按Forrest分级,FⅠa、FⅠb和FⅡa共26例(FⅡa级以上)消化性溃疡病者给予注射治疗,Ⅱb+Ⅱc+Ⅲ级占76.4%,中青年组与老年组在上消化道出血病因分布上有显著性差异。结论急诊内镜在上消化道出血的诊治上安全性好,具有很高的实用价值。
Objective To investigate the value of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal bleeding. Methods 183 cases of upper gastrointestinal bleeding admitted to our hospital were selected and the results of emergency endoscopy were summarized in 24 hours. Results A total of 178 cases of upper gastrointestinal bleeding were diagnosed in 183 cases with a diagnosis rate of 97.3%. Emergency endoscopy treatment was performed in 32 cases and success was achieved in 29 cases. The success rate was 90.6%. According to the Forrest classification, 26 cases (FⅡa, F Ⅰa and FⅡa) Grade) peptic ulcer patients given injection therapy, Ⅱ b + Ⅱ c + Ⅲ grade accounted for 76.4%, middle-aged and elderly groups in the distribution of etiology of upper gastrointestinal bleeding were significantly different. Conclusion Emergency endoscopy in the diagnosis and treatment of upper gastrointestinal bleeding safety, has a high practical value.