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目的:研究急诊内镜在上消化道大出血诊治中的作用。方法:回顾性分析2010年1月-2012年6月期间,我院收治的64例确诊为上消化道出血患者的临床资料,按照患者患病的严重程度和就诊类型,将64例患者随机分为两组,对照组患者32例,为非急诊就诊的患者;观察组患者32例,为在急诊就诊治疗的患者。比较两组患者治疗期间的诊断率、止血时间等指标,总结急诊内镜在上消化道大出血的诊治作用。结果:治疗后观察组和对照组患者在临床诊断率、平均止血时间等方面存在明显差异,观察组明显优于对照组,具有统计学意义,(P<0.01),且观察组患者采用内经诊断的诊断率明显高于对照组,差异具有统计学意义,(P<0.05)。结论:急诊内镜在上消化道出血患者的诊断中安全、易行、有效,上消化道出血患者及早进行内镜检查,有助于及时发现病情和尽早接受积极治疗,在临床诊断中具有不可替代的应用价值。
Objective: To study the role of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal hemorrhage. Methods: The clinical data of 64 patients diagnosed as upper GI bleeding in our hospital from January 2010 to June 2012 were retrospectively analyzed. According to the severity of the illness and type of treatment, 64 patients were randomized For the two groups, 32 patients in the control group, non-emergency treatment of patients; observation group of 32 patients, for emergency treatment in patients with treatment. Comparison of the two groups of patients during the diagnosis, bleeding time and other indicators, summary of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal bleeding. Results: There were significant differences in the clinical diagnosis rate, mean hemostasis time, etc. between the observation group and the control group after treatment. The observation group was significantly better than the control group (P <0.01), and the observation group was diagnosed by internal medicine The diagnostic rate was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion: Emergency endoscopy in the diagnosis of patients with upper gastrointestinal bleeding is safe, easy and effective, early gastrointestinal bleeding in patients with endoscopic examination, help to find the disease in time as soon as possible and receive active treatment in the clinical diagnosis of not The value of alternative applications.