上消化道出血急诊胃镜及临床分析  

作　　者：席智文[1] 

机构地区：[1]河南商丘市第一人民医院消化科,476100

出　　处：《中国社区医师（医学专业）》2012年第5期36-36,共1页

摘　　要：目的:探讨急诊胃镜检查对上消化道出血患者病因诊断以及内镜治疗措施对疾病转归的影响。方法:回顾性分析76例急诊胃镜治疗上消化道出血患者的临床资料。结果:76例急诊胃镜检查病变检出率100%,出血的主要病因依次为消化性溃疡、急、慢性胃炎、胃恶性肿瘤、食管胃底静脉曲张等。经内镜及内科综合治疗总止血率95.6%。结论:早期上消化道出血患者,在积极改善一般情况、血压稳定后,应尽快行急诊内镜检查治疗,可快速明确病因并控制病情,胃镜检查时间越早,成功止血率越高。Objective：To explore the emergency gastroscopy for upper digestive tract hemorrhage etiology diagnosis and endoscopic treatment on the prognosis of the disease effect.Methods：Retrospective analysis of 76 cases of emergency endoscopy in treatment of upper gastrointestinal bleeding in patients with clinical data.Results：76 cases of emergency gastroscopy lesion detection rate of 100%,the main causes were bleeding peptic ulcer,acute and chronic gastritis,gastric cancer,esophageal and gastric varices.Endoscopic and medical treatment of hemostatic rate was 95.6% in total.Conclusion：Early patients with hemorrhage of upper digestive tract,in active improvement of general condition,blood pressure,should as soon as possible emergency endoscopy treatment,can quickly clear etiology and control condition,gastroscopy in earlier time,the higher the rate of successful hemostasis.

关 键 词：胃镜检查 急诊处理 上消化道出血 

分 类 号：R735.2[医药卫生—肿瘤]