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目的:探讨急诊胃镜检查对上消化道出血患者病因诊断及内镜下治疗措施对疾病转归的影响。方法:对124例上消化道出血患者急诊胃镜检查及治疗结果进行回顾性分析。结果:124例急诊胃镜检查出血病变检出率100%,出血原因依次为消化性溃疡、急性胃黏膜病变、食管胃底静脉曲张、、贲门及胃恶性肿瘤、Mallory-Weiss综合征、十二指肠憩室,其他原因不明。内镜治疗的总有效率为94.11%(32/34),总止血率98.38%(122/124),病死率0.80%(1/124)。结论:上消化道出血患者,应尽早行急诊胃镜检查明确病因,有活动性出血者用镜下止血是安全而有效的治疗措施,可增加止血率,降低病死率。服用NSAIDs的患者,应重视对胃黏膜的保护性治疗。
Objective: To investigate the effect of emergency endoscopy on the diagnosis of patients with upper gastrointestinal bleeding and the effect of endoscopic treatment on the outcome of the disease. Methods: A retrospective analysis of 124 cases of upper gastrointestinal bleeding emergency gastroscopy and treatment results were retrospectively analyzed. Results: The detection rate of bleeding in 124 emergency cases was 100%. The cause of bleeding was peptic ulcer, acute gastric mucosal lesion, esophageal and gastric varices, cardia and stomach malignant tumor, Mallory-Weiss syndrome, Bowel diverticulum, other causes unknown. The total effective rate of endoscopic treatment was 94.11% (32/34), the total bleeding rate was 98.38% (122/124), and the case fatality rate was 0.80% (1/124). Conclusion: Patients with upper gastrointestinal bleeding should be diagnosed as early as possible by emergency gastroscopy. Patients with active bleeding with hemostasis under the microscope are safe and effective treatment measures, which can increase the rate of hemostasis and reduce the mortality. Patients taking NSAIDs should pay attention to the protective treatment of gastric mucosa.