急性上消化道出血的治疗

Treatment of Acute Upper Digestive Tract Hemorrhage

内镜治疗是急性上消 化道出血现代治疗的基础。内镜止血疗法与药物治疗相结合可提高疗效。在上述治疗失败时可作紧急手术治疗。药物以降门脉压药物为主,非静脉曲张性出血可选用胃酸抑制剂和根除幽门螺杆菌治疗,联合两种疗法比单一疗法为佳。内镜多普勒超声检查可预测内镜治疗的效果。

Endoscopic ther-apy is the corn-erstone in modern therapy of acute upper digestive tract hemorrhage. Combination of medical treatrnent and endoscopic hemostasis may be useful. Emergency operation is used when non -surgical methods fail. Drug of decreasing portal vein pressure may be of first choice. Acid suppression and eradication of Helicobacter pylori may being choice for treatrnent of nonvariceal bleeding. Combination therapy may offer an advantage over single-method therapy. Endoscopic Doppler sonography can predict the effect of endoscopic therapy.