急诊胃镜在上消化道出血诊治中的临床研究

Clinical study in emergency endoscopy diagnosis and treatment of upper gastrointestinal bleeding

目的探讨上消化道诊治中急诊胃镜诊治效果。方法选取上消化道出血患者80例,均为濮阳巿人民医院消化科2014年8月至2015年8月收治,依据胃镜检查时间分组,其中40例出血48h内检查,设为观察组;40例出血停止5-7d胃镜检查,设为对照组。结果观察组选取的40例上消化道出血患者,明确诊断39例,临床确诊率为97.5%;因胃镜内积血对观察产生影响1例,占2.5%;活动性出血33例,占82.5%。对照组明确诊断33例,确诊率为82.5%,7例未明确病因,占12.5%;有活动性出血14例。组间确诊率对比有统计学差异（P〈0.05）。结论临床收治的上消化道出血病例,采用急诊胃镜检查,可使确诊率提高,是一项安全、易行、方便的诊治措施,对保障患者预后,有非常重要的实施价值。

Objective To investigate the effect of upper gastrointestinal endoscopy in the diagnosis and treatment of emergency. Methods Selected 80 cases of upper gastrointestinal bleeding in patients,our hospital gastroenterology,August 2014 to August 2015 were treated,group by gastroscopy time,including 40 cases of bleeding within 48 h inspection,observation group; 40 cases bleeding stopped 5-7d gastroscopy,set the control group. Results Totally 40 cases of upper gastrointestinal bleeding in patients selected observation group,39 cases of diagnosis,clinical diagnosis was 97. 5percent,for blood in the endoscopic observation affects one case（ 2. 5%）,active bleeding in 33 cases,accounting for82. 5%. The control group 33 cases a clear diagnosis,diagnosis rate was 82. 5%,7 cases without a clear cause,accounting for 12. 5%; 14 cases of active bleeding. Diagnosis rate comparison between the two groups were significantly different（ P〈0. 05）. Conclusion Clinical cases of gastrointestinal bleeding admitted using emergency endoscopy,can improve the diagnosis rate,is a safe,easy,convenient diagnosis and treatment measures to safeguard the prognosis of patients,there is a very important embodiment of value.