急诊胃镜止血在上消化道大出血治疗中的意义  

The significance of emergency endoscopy hemostatic in the treatment of upper gastrointestinal bleeding

作　　者：吴基洲 刁占琳[2] 

机构地区：[1]辽宁省朝阳市中心医院消化科,辽宁朝阳122000 [2]辽宁省朝阳市卫生学校,辽宁朝阳122000

出　　处：《中国当代医药》2013年第16期190-191,共2页China Modern Medicine

摘　　要：目的探讨急诊胃镜止血在上消化道大出血治疗中的价值。方法收集上消化道大出血患者62例进行急诊胃镜止血,分析止血效果及常用的两种止血方法的利弊。结果 1例患者止血无效行急诊手术,余61例患者均经胃镜止血成功,其中3例胃肠间质瘤患者即刻出血停止后转外科手术治疗,为手术赢得了宝贵的时间。结论急诊胃镜止血成功率高,效果肯定,降低了手术风险,也节省了医疗费用,是上消化道大出血的首选治疗方法。Objetive To observe the value of emergency endoscopic hemostasis in treatment of upper gastrointestinal hemorrhage. Methods Sixty-two patients of upper gastrointestinal hemorrhage were collected, and had the emergency endoscopic hemostasis. The effect of hemostasis and difference of the two methods frequently-used in endoscopic hemostasis were analyzed. Results One patient had turned to emergency surgery because of invalid stop bleeding. The other sixty-one patients were successful cured by endoscopy hemostasis. Three GIST patients were sent to surgery after stopping bleeding which gained more precious time to operate. Conclusion Emergency endoscopy hemostasis has a high success rate and positive effect. It can reduce surgical risk and save medical expenses in the meanwhile. It is the first choice in treatment of upper gastrointestinal hemorrhage.

关 键 词：消化道 出血 急诊胃镜止血 意义 

分 类 号：R57[医药卫生—消化系统]