内镜治疗急性非甾体类抗炎药相关性上消化道出血的临床价值

The clinical value of endoscopic treatment for acute non-steroidal anti-inflammatory drugs associated gastroduodenal ulcer bleeding

目的探讨内镜治疗急性非甾体类抗炎药(NSAIDs)相关性上消化道出血的方法、效果及特点。方法分析2007年6月～2010年6月在桂林市人民医院行急诊内镜止血的NSAIDs相关性上消化道出血64例患者的临床资料和内镜治疗情况。结果所有患者急诊胃镜下止血均取得成功,其中单用止血夹止血12例,单用局部黏膜下注射止血9例,止血夹与黏膜下注射联合止血4例,氩气凝固止血39例。结论内镜是治疗非甾体类抗炎药相关性上消化道出血的有效方法,操作中需依据这一特殊类型患者的特点进行有针对性的处理。

[Objective] To evaluate the clinical value of endoscopic treatment for acute non-steroidal anti-inflammatory drugs（NSAIDs） associated gastroduodenal ulcer bleeding.[Method] The clinical data and the effect of gastroscopy treatment on 64 patients who had emergency gastroscopy treatment in People Hospital of Guilin City were analyzed because of gastroduodenal bleeding from June 2007 to June 2010.[Result] All cases of bleeding under endoscopic hemostasis were successful.Among them,12 cases only used hemoclips,and 9 cases only used local submucosal injection,and 4 cases used both hemoclips and local submucosal injection,and 39 cases used argon solidification.[Conclusion] Emergency gastroscopy hemostasis is the effective treatment of upper gastrointestinal bleeding correlated of non-steroidal anti-inflammatory drugs,the operation needs to adapt to the characteristics of this particular types of patients and targeted treatment.