急诊胃镜诊治急性上消化道非曲张静脉破裂出血42例  

Emergent gastroscopy in the treatment of acute nonvariceal upper gastrointestinal bleeding:an analysis of 42 cases

作　　者：刘辉[1] 柏健鹰[2] 王雷[2] 张朋彬[2] 

机构地区：[1]重庆三峡中心医院消化内科,重庆市万州区404000 [2]第三军医大学附属新桥医院消化内科,重庆市400037

出　　处：《世界华人消化杂志》2007年第11期1280-1282,共3页World Chinese Journal of Digestology

基　　金：重庆市医学重点研究室建设项目(渝卫科教);No.[2007]14~~

摘　　要：目的:观察注射肾上腺素及热探头凝固疗法对上消化道非曲张静脉破裂出血的治疗作用.方法:对42例上消化道活动性出血患者(13例胃溃疡,25例十二指肠球部溃疡,4例Dieulafoy's病)进行局部注射肾上腺素及热探头凝固治疗.结果:42例患者经首次治疗后,有38例(90.5%)出血停止(消化性溃疡35/38,Dieulafoy's病3/4),再出血率为23.7%(9/38).手术率为19.0%(8/42),无死亡发生.结论:局部注射肾上腺素及热探头凝固法是治疗上消化道非静脉曲张破裂出血的有效手段.AIM： To evaluate the efficiency of gastroscopic epinephrine injection with heat probe coagulation in the treatment of acute nonvariceal upper gastrointestinal bleeding （ANVUGIB）. METHODS： Forty-two cases of ANVUGIB （including 13 cases of gastric ulcer, 25 cases of duodenal ulcer, and 4 cases of Dieulafoy＇ disease） were treated with gastroscopic epinephrine injection plus heat probe coagulation. RESULTS： Bleeding was controlled in 38 （90.5%） of 42 cases. The rebleeding rate was 23.7% （9/38）, and the surgery rate was 19.0% （8/42）. No death occurred. CONCLUSION： Epinephrine injection plus heat probe coagulation is an effective method for the treatment of acute upper gastrointestinal non-variceal bleeding.

关 键 词：急诊胃镜 肾上腺素 热凝固法 急性上消化道出血 

分 类 号：R573.2[医药卫生—消化系统]