内镜诊治上消化道出血320例临床分析

Endoscopic treatment of upper gastrointestinal tract hemorrhage: clinical analysis of 320 cases

目的探讨上消化道出血在48h内、外进行内镜直视下止血的疗效，并对其进行分析总结。方法选取2001年1月～2002年7月经内镜检查确诊的消化道出血患者320例，分为研究组和对照组。其中研究组228例在出血48h内进行内镜检查及镜下治疗；对照组92例在48h后进行内镜检查及治疗。并评价止血效果。结果研究组228例，成功止血有224例，成功止血率是98．24％；对照组92例，成功止血有78例，成功止血率是84．78％，两者相比，差异有统计意义（P〈0．05）。结论上消化道出血患者，在积极改善一般情况血压稳定后，尽快行急诊内镜检查；治疗时间越早，成功止血率越高，对明确病因及成功止血十分重要。

Objective To explore the different effect of hemostasis with endoscope in different periods for upper gastrointestinal tract hemorrhage. Methods Three- hundred and twenty patients diagnosed with upper gastrointestinal tract hemorrhage by endoscopy from January 2001 to July 2002, were classified into research group （228） and control group （92）. Patients in both reseaeh group and control group underwent endoscopy and treated within and out of 48 hours, respectively. Results The successful hemostasis rates of research group and control group were 98.24% （224/228） and 84.78% （78/92）, respectively. There were different significantly between the two groups （ P 〈0. 05 ）. Conclusion Patients with upper gastrointestinal tract hemorrhage should perform emergency endoscopy as soon as possible after the systemic conditions and the blood pressure improving. The more promptly hemostasis with endoscope is performed, the higher successful hemostasis rate is, which is also important to determine the etiological factors.