非静脉曲张胃内出血的内镜治疗

Terapeutic Methods of Gastric Massive Hemorrhage in Endoscopy

目的:探讨急性非静脉曲张胃出血内镜治疗的价值。方法:对急性非静脉曲张胃出血患者行胃镜下局部止血合剂、微波、钛夹钳夹3种方法进行治疗。结果:37例胃出血患者中,ForrestIa喷射状活动性出血15例、ForrestIb活动性渗血22例,活动性出血为100%。所有病例均行急诊胃镜下止血,止血率为91.8%(34/37),采用止血合剂、微波、钛夹3种方法治疗止血率分别为100%(13/13)、91.6%(11/12)和83.3%(10/12)。结论:胃镜下局部止血合剂、微波、钛夹钳夹是治疗急性非静脉曲张胃出血的安全、快速、有效治疗方法。

Objective：This study was conducted to assess the efficacy and safety of the emergency gastroenterological endoscopic procedures in the control of acute gastric massive hemorrhage. Methods： Patients with Forrest type Ia and Ib gastric ulcer hemorrhages were included in the study. Sclerosing agent injection or microwave application or hemostatic clips were used for initial hemostasis. Results： A total of 37 cases were included in the study. There were 15 cases of Eorrest type la and 22 cases of Forrest type Ib. The overall rate of successful hemostasis in the emergency endoscopy was 91.8%（34/37）, while initial successful rates of sclerosing agent injection, microwave application and haemostatic cllp were 100% （ 13/13）, 91.6 % （ 11 / 12） and 83.3 % （ 10/12）, respectively. Conclusion： The use of emergency endoscopic procedures is feasible and safe in the initial control of acute gastric massive hemorrhage.