急诊胃镜与普通胃镜对上消化道出血的诊治价值

Diagnostic and treatment value of emergency gastroscopy and common gastroscope for upper gastrointestinal hemorrhage

目的 比较急诊胃镜与普通胃镜对上消化道出血的诊治价值。方法 回顾性分析2012年9月～2015年9月收治的采用急诊胃镜诊治的39例上消化道出血患者的临床资料,并与同期39例采用普通胃镜诊治的患者比较。观察分析两组患者病因确诊率、镜下止血率、术中输血率。结果 观察组病因确诊率为89.74%,高于对照组的66.67%,差异有统计学意义（χ^2=6.093,P〈0.05）;两组镜下止血率、输血率比较差异有统计学意义（χ^2=8.773,4.198,P〈0.05）;两组均未出现穿孔、大出血、药物过敏、突发死亡等严重并发症。结论 急诊胃镜对于上消化道出血具有较高的诊治价值,具有病因确诊率高、镜下止血率高、术中输血率低的特点,值得临床推广应用。

Objective To compare the diagnostic and treatment of emergency gastroscopy and common endoscopy in upper gastrointestinal hemorrhage.Methods Clinical data of 39 patients given emergency gastroscopy from September2012 to September 2015 was retrospectively analyzed and the control group given common gastroscope for the same period,the etiology diagnosis rate,the bleeding rate and blood transfusion rate during operation of patients in two groups were observed and analyzed.Results The etiology diagnosis rate of the observation group was higher（89.74% vs66.67%,χ^2=6.093,P〈0.05）;the bleeding rate and blood transfusion rate during operation were different（χ^2=8.773,4.198,P〈0.05）;no serious complications（perforation,massive hemorrhage,drug allergy,sudden death） occurred in both groups.Conclusion There was high value of emergency endoscopy in the diagnosis and treatment of upper gastrointestinal hemorrhage,the etiology diagnosis rate was high;hemostatic rate under scope is high;blood transfusion rate during operation was low which should be promoted and applied.