内镜治疗后迟发性出血12例急诊内镜止血分析  

Analysis of Emergency Endoscopic Hemostasis in Treatment of 12Patients with Delayed Hemorrhage after Therapeutic Endoscopy

作　　者：聂川[1] 李政文[1] 尧登华[1] 何俊堂 吕黄勇[1] 肖萧[1] 

机构地区：[1]解放军59医院消化内镜中心,云南开远661699

出　　处：《解放军医药杂志》2012年第12期14-16,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨内镜治疗后迟发性出血急诊内镜止血的方法。方法对我院2008年1月—2011年10月收治的内镜治疗后迟发性出血12例行内镜下止血。结果本组采用单纯的氩离子凝固术或热活检钳电凝止血5例,采用热活检钳电凝联合金属夹治疗4例,采用单纯金属夹治疗3例。均一次性止血成功。平均手术时间(13.3±4.6)min,术中出血量20～100 ml。平均住院时间为(14.7±1.4)d,随访时间7～28 d,无一例再发出血。结论内镜治疗后迟发性出血是内镜治疗常见并发症,术前术中应最大限度预防,一旦发现应行急诊内镜止血处理。Objective To explore emergency endoscopic hemostasis in treatment of delayed hemorrhage after therapeutic endoscopy. Methods 12 patients with delayed hemorrhage hospitalized from Juanuary 2008 to October 2011 underwent endoscopic hemostasis. Results 5 patients were treated with simple argon plasma coagulation or hot biopsy forceps coagulation, 4 with hot biopsy forceps coagulation combined with metal clips, 3 with simple metal clips. The 12 patients had successful one-off hemostasis. The average operation time was （13.3 ＋4.6） min, intraoperative blood los- sing volume was 20 - 100 ml and the average length of stay （ 14.7 ＋ 1.4） d. With 7 ~ 28 d of follow-up there was no reis- sued bleeding. Conclusion Delayed hemorrhage is a common complication of therapeutic endoscopy and should be avoi- ded before and during operation, so emergency endoscopic hemostasis is required if it was found.

关 键 词：胃镜检查 手术后出血 迟发性出血 

分 类 号：R57[医药卫生—消化系统]