58例急性上消化道出血的临床治疗方法及效果研究

Study on the Clinical Treatment and Therapeutic Effect of 58 Cases of Acute Upper Gastrointestinal Bleeding

目的探讨急性上消化道出血的临床治疗的方法及疗效。方法回顾性分析2009年7月-2012年10月该院急诊收治的58例急性上消化道出血患者，其中男40例，女18例；年龄41～63岁，平均（52．5±0．5）岁。结果在该组58例患者中，经内科及手术治疗，均获治疗痊愈，无出现并发症及副作用的情况。根据疗效判断标准，本组患者中，39例患者显效，19例患者有效，平均疗程（18．2±0．3）d。结论失血性休克是危害上消化道出血患者生命的重要原因，应严密观察血容量的变化情况，将迅速补充血容量，放在一切临床措施的首位。常规的治疗包括药物止血、制酸、抗感染、手术等，这些应根据患者的出血部位、止血情况、有无手术指征等进行综合考虑。

Objective To study the clinical treatment and therapeutic effect of 58 cases of acute upper gastrointestinal bleeding. Methods The clinical data of 58 cases of acute upper gastrointestinal bleeding aged from 41 to 63, mean（52.5 ± 0.5）years old, including 40 males and 18 females, admitted in Emergency Department of our hospital from July, 2009 to October, 2012 were analyzed retrospectively. Results All the 58 cases of patients were cured after the treatment of internal medicine and surgery with no complications and adverse reactions. According to the curative effect judgment standard, of the patients in this group, 39 cases were markedly effective, 19 cases effective; the mean duration of treatment was （18.2 ± 0.3） days. Conclusion Hemorrhagic shock is an important reason that endanger the lives of patients with upper gastrointestinal bleeding, so the change of blood volume of the patients should be closely observed, and quickly replenishing the blood volume should be the first of all clinical measures. Conventional treatment includes drug hemostasis, anti-acid treatment, anti-infection, operation and so on, and all these measures should be adopted on the basis of comprehensive consideration of the location of hemorrhage, hemostasis and whether the patient has surgical indications or not.