胃鏡分析上消化道出血140例

Analysis of 140 Cases of Acute Upper Gastrointestinal Bleeding by Gastroscopy

目的了解上消化道出血的原因、部位及内鏡治療效果。方法胃鏡檢查上消化道出血患者140例,並對活動性出血及近期出血的病例作内鏡止血治療。結果胃鏡對消化道出血的確診率為95.7%。消化性潰瘍是首位病因,佔79.3%,其它病因分別為糜爛性胃炎、十二指腸球部炎、食道炎、食道靜脈曲張破裂和胃癌等。對其中24例出血患者進行内鏡治療,均成功止血。結論胃鏡檢查是上消化道出血的重要檢查手段,内鏡止血是治療活動性出血的有效方法。

Objective To investigate the causes,position of acute upper gastrointestinal bleeding and efficacy of endoscopic hemostasis.Methods 140 patients with acute upper gastrointestinal bleeding were performed gastroscopy investigation.Results 134 cases(95.71%)were confirmed the definite lesions.The most common cause was peptic ulcer(79.29%),other causes included esophageal varices,erosive gastritis,erosive esophagitis and gastric carcinoma,24 cases of active bleeding were treated with endoscopic hemostasis successfully.Conclusion It was concluded that gastroscopy was very helpful in the diagnosis and therapy of acute upper gastrointestinal bleeding.