摘要
目的 探讨老年人急性应激性溃疡的急诊胃镜检查。方法 对 2 5例老年人急性应激性溃疡急诊胃镜检查、治疗、病因进行分析。结果 2 1例胃镜下广泛充血、水肿、糜烂伴多发、散在性溃疡( 84% ) ,以胃体大、小弯侧为主。胃镜直视下喷洒止血药 ,出血明显减少 17例 ( 81% ) ,出血控制 4例( 19% ) ,未发现活动性出血 4例 ( 16% )。结论 急诊胃镜检查是老年人急性应激性溃疡诊断和治疗的重要手段 。
Objective Evaluation of emergency gastroscopic examination of senile acute stress ulceration. Methods Emergency gastroscopic examination and treatment of 25 cases of senile acute stress ulceration were made and the cause of their disease was analyzed.Results The results of gastroscopic examination revealed extensive hyperemia, edema and erosios with multiple scattered ulceraion in 21 cases(84%),mainly in greater and lesser curvatures of the stomach.After spraying hemostatic drug under gastroscopic observation,bleeding was obviously reduced in 17 cases(81%)and controlled in 4 cases(19%).No active bleeding was observed in the remaining 4 cases(16%). Conclusion Emergency gastroscopic examinaion is an important method in the diagnosis and treatment of senile acute stress ulceration.Closely monitored operation is safe and practical.
出处
《河北医药》
CAS
2000年第4期264-265,共2页
Hebei Medical Journal
关键词
老年人
急性应激性溃疡
急诊
胃镜检查
senile acute stress ulceration
emergency gastroscopic examination