上消化道出血急诊胃镜检查及转归124例分析

Examination and analysis of 124 patients with upper digestive tract hemorrhage in emergency

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 emergency endoscopy for upper gastrointestinal bleeding in patients with etiological diagnosis and endoscopic treatment measures the impact on disease prognosis.Methods：124 cases of upper gastrointestinal bleeding in patients with emergency endoscopy and treatment outcome were analyzed retrospectively.Results：124 cases of emergency gastroscopy bleeding lesion detection rate of 100%,followed by the reasons for bleeding peptic ulcer,acute gastric mucosal lesion,esophageal varices,gastric cardia,and gastric malignancy,Mallory-Weiss syndrome,12 refers to diverticulum,the other for unknown reasons.Endoscopic treatment of total effective rate was 94.11%（32/34）,total bleeding rate of 98.38%（122/124）,mortality 0.80%（1/124）.Conclusions：Patients with upper gastrointestinal bleeding,emergency endoscopy should be done as soon as possible a clear cause,there was active bleeding with endoscopic hemostasis was safe and effective treatment measures to increase the bleeding rate and mortality.Patients taking NSAIDs,should be attached great importance to the protection of gastric mucosa treatment.