论文部分内容阅读
[目的]探讨急诊床边胃镜在急性上消化道大出血中的诊断及治疗价值。[方法]分析2006～2007年对50例上消化道大出血患者行急诊床边胃镜检查(其中内镜下治疗47例)。[结果]49例明确出血原因(1例因胃腔内积血甚多影响观察),确诊率为98.0%,其中47例经内镜下治疗后出血停止,一次性止血成功43例,总有效率为87.7%;4例再次出血行血管介入治疗,3例外科手术治疗。全部病例无一例死亡或病情加重。[结论]在急性上消化道大出血中急诊床边胃镜能及时有效地明确出血原因,并可行内镜下止血,降低病死率,且安全。
[Objective] To explore the diagnosis and treatment of acute bedside endoscopy in acute upper gastrointestinal bleeding. [Methods] From 2006 to 2007, 50 patients with upper gastrointestinal bleeding underwent emergency bedside gastroscopy (including endoscopic treatment of 47 cases). [Result] 49 cases were confirmed the cause of bleeding (one case was observed because of the influence of intragastric hemorrhage), the diagnosis rate was 98.0%, of which 47 cases stopped bleeding after endoscopic treatment, 43 cases had one-time hemostasis, The efficiency was 87.7%. Four patients underwent hemorrhage again with vascular intervention and three patients underwent surgical treatment. No case of all deaths or exacerbations. [Conclusion] Emergency bedside gastroscopy in acute upper gastrointestinal hemorrhage can clarify the cause of hemorrhage in time and effectively, and it is feasible to stop bleeding by endoscopy, reduce the mortality and be safe.