内镜注射治疗十二指肠溃疡出血失败的相关因素分析  

FACTORS RELATED TO THE FAILURE OF ENDOSCOPIC INJECTION THERAPY FOR BLEEDING DUODENAL ULCER

作　　者：刘诗[1] 邹开芳[1] 侯晓华[1] 易粹琼[1] 

机构地区：[1]同济医科大学附属协和医院消化内科,430022

出　　处：《中国内镜杂志》2001年第6期53-54,共2页China Journal of Endoscopy

摘　　要：目的 :评价内镜注射治疗十二指肠溃疡出血患者的失败因素。方法 :对 132例有活动性出血或裸露血管的十二指肠溃疡出血患者进行内镜注射治疗 ,并从临床和内镜方面分析注射治疗失败的相关因素。结果 :内镜注射治疗的有效止血率为 83.3% (110 / 132 )。 2 2例 (16 .7% )患者注射治疗失败 ,其中 17例患者治疗后继续出血或再出血 ,5例因出血部位难接近而失败。内镜治疗失败与患者休克表现 ,低血红蛋白浓度 ,活动性出血 ,直径 >2cm溃疡及十二指肠球部后壁溃疡等因素明显相关。结论Objective:To assess the factors that may cause failure of endoscopic injection in patients bleeding from a doudenal ulcer. Method:Endoscopic injection therapy was performed in 132 patients admitted for a bleeding duodenal ulcer with active hemorrhage or a nonbleeding visible vessel,clinical and endoscopic factors related to the therapeutic failure were analysed.Results:The efficacy of endoscopy therapy was 83.3%(110 of 132).Endoscopic injection failed in 22 (16.7%) patients:17 continued to bleed or rebleed,and 5 patients could not be treated because of inaccessbility of the lesion.Therapeutic failure was significantly related to :the presence of shock,lower hemogrobin level,active bleeding,the ulcer size larger than 2cm,and the ulcer location on the posterior wall of duodenal bulb.Conclusions:These factors related to the therapeutic failure may be used to identify those patients bleeding from duodenal ulecr who would not benifit from injection therapy.

关 键 词：十二指肠溃疡出血 内镜注射治疗 失败因素 

分 类 号：R573.105[医药卫生—消化系统]