氩激光对上消化道急性出血的疗效观察(附13例报告)

CURATIVE EFFECT OF ENDOSCOPIC ARGON LASER FOR HEMORRHAGE OF ACUTE UPPER GASTROINTESTINAL TRACT (A Report of 13 Cases)

我们应用广州市光学应用研究所提供的氩激光发生器在动物实验止血成功的基础上应用于临床,并将激光管重新充气和调整,光纤输出功率稳定于1～2.5瓦之间,对13例内窥镜下仍见病灶出血的病人进行治疗,取得显著的止血作用。一、临床资料(一)治疗的对象:从1982年11月～1983年4月有上消化道急性出血病者64例,因不同程度便血或呕血入院,有休克的病例经纠正休克或稳定血压和脉搏后,即作紧急内窥镜检查。只有13例发现病灶仍有活动性出血(渗血者8例,流血者5例)始作为治疗对象。13例中,男8例,女5例,年龄23～68岁。

12 cases of bleeding peptic ulcers (3 gastric ulcers and 9 duodenal ulcers) and 1 of bleeding gastric polypus were treated with lower-power Argon laser through endoscope In endoscopic Argon laser therapy, all the hemorrhagic lesions were controlled by the action of the photo-coagulation. In a period of 5 days observation after that, 12 of the 13 cases were controlled perfectly, 1 bled again on the fifth day. In the treatment of upper gastrointestinal tract hemorrhage. Argon laser therapy proves to be satisfactory, complications free as well as safe and trustworthy, therefore it should be further studied.