非静脉曲张性上消化道出血内镜下的诊治

Endoscopic Diagnosis and Treatment of Nonphlebeurysma-induced Upper Gastrointestinal Bleeding

目的:探讨非静脉曲张性上消化道出血急诊内镜的诊治意义及价值.方法:对上消化道出血患者,急诊内镜检查明确病因及出血部位,然后根据不同情况选择适当止血方法,行内镜下止血治疗.结果:191例患者中,182例明确诊断,确诊率97.6%.并对其中63例内镜下可见活动性出血灶的患者行内镜下止血治疗,有效58例,再出血5例,止血有效率为92.1%,再出血率为7.9%.结论:对上消化道出血的患者行急诊内镜的诊治是安全可靠的,确诊率和止血率很高,再出血率相对较低,值得临床广泛应用.

Objective： To study the availability of endoscopy in diagnosis and treatment of nonphlebeurysma- induced upper gastrointestinal bleeding（UGIB）. Methods：The etiopathogenisis and location of UGIB were determined through endoscopy. Then proper hemostasises were applied through endoscopy according to concrete conditions. Results： 182 patients of UGIB were confirmed from 191 patients through endoscopy with the accuracy of 97.6 %. Among verified ones, 63 patients with active bleeding were stopped bleeding through endoscopy. The achievement ratio of hemostasis is 92.1% （58 patients）, and the relapse rate is 7.9% （5 patients）. Conclusion： It is assumed that hemostasis through endoscopy is a safe and an effective means for UGIB. Its accuracy and achievement ratio are very high.