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上消化道出血为临床常见急症。目前上消化道大量出血的病死率与病因误诊率较高,分别约在10％与20％以上。为了及时抢救病人,必须做到早期发现、明确病因、严密观察、积极治疗。长期以来,上消化道出血的治疗,主要靠输血和抗酸剂的应用,治疗无效进行外科手术。最近几年,由于纤维内窥镜(简称内镜)广泛应用和新型内镜的开发,尤其是在上消化道出血病例的急症内镜检查、诊断性的血管造影检查,不仅能作出及时的诊断与合理的治疗,而且也有较好的治疗效果。本文就近几年来对于上消化道出血的非手术治疗进展情况简介如下:
Upper gastrointestinal bleeding is a common clinical emergency. At present, a large number of upper gastrointestinal bleeding mortality and cause of misdiagnosis rate were higher, respectively, about 10% and 20%. In order to rescue patients in time, we must do early detection, a clear cause, close observation and active treatment. For a long time, the treatment of upper gastrointestinal bleeding, mainly by the application of blood transfusion and antacids, the treatment of ineffective surgical. In recent years, due to the extensive use of fiber endoscopy (referred to as endoscopy) and the development of new endoscopy, especially in emergency cases of upper gastrointestinal bleeding endoscopy, diagnostic angiography can not only make timely diagnosis And reasonable treatment, but also have better therapeutic effect. This article in recent years for the treatment of upper gastrointestinal bleeding non-surgical progress is as follows: