80例危重消化道出血患者的临床诊治

Clinical diagnosis and treatment of 80 cases with severe gastrointestinal bleeding

目的研究临床危重消化道出血患者诊治方案。方法选取危重消化道出血患者80例为研究对象。对其临床诊治方案及实施情况进行回顾分析。结果经急诊胃镜检查后有73例患者明确出血原因,主要出血表现为病灶动脉渗血及喷血,偶见隆起血凝块。出血原因明确患者中,经临床治疗,有68例患者经7d以上观察未持续出血。另有5例患者因出血无法控制转移手术治疗。包括3例晚期胃癌患者以及4例晚期肝硬化患者经积极医治及抢救后无效死亡。结论针对危重消化道出血患者行急诊胃镜检查安全性高,并发症发生率较低,误诊率低,值得临床关注。

Objective To study the clinical critical gastrointestinal bleeding in patients with diagnosis and treatment. Methods 80 critically ill patients with gastrointestinal bleeding in our hospital were researched a retrospective analysis of the clinical diagnosis and treatment programs and the implementation of petients. Results 73 patients with clear causes of bleeding after emergency endoscopy. Major bleeding showed lesions arterial bleeding and spurting occasionally bulge blood clots. Clear reason of bleeding in patients by clinical treatment,68 patients were not continuous bleeding 7d above observations. Another five patients were unable to control the transfer of surgical treatment for bleeding. Included three cases of advanced gastric cancer patients as well as patients with advanced cirrhosis died after actively heal and rescue. Conclusion Safe for critically ill patients with gastrointestinal bleeding underwent emergency endoscopy,a lower incidence of complications,misdiagnosis is low,is worthy of attention.