急诊胃镜上消化道出血的疗效分析  

Curative Effect Analysis of Emergency Endoscopy in Upper Gastrointestinal Hemorrhage

作　　者：武杰[1] 

机构地区：[1]吉林市中心医院消化内科,吉林吉林132011

出　　处：《中国医药指南》2014年第21期44-45,共2页Guide of China Medicine

摘　　要：目的探讨急诊胃镜检查在上消化道出血诊断和治疗中的价值。方法回顾性分析86例急诊胃镜治疗上消化道出血患者的临床资料。结果急诊胃镜检查确诊率为91．8％，不同时间活动性出血检出率不同，〈24h与24～48h检查相比检出率有着显著性差异（P〈0．05），急诊胃镜止血总有效率90．8％，不同时间治疗一次成功止血率无显著性差异（P〉0．05）。结论急诊胃镜检查和治疗不仅有利于上消化道出血的诊断，而且也是有效的治疗手段，镜检时间越早越好。Objective To investigate emergency gastroscopy in upper digestive tract hemorrhage diagnosis and treatment value. Methods A retrospective analysis of 86cases of emergency endoscopy in treatment of upper gastrointestinal bleeding in patients with clinical data. Results Emergency gastroscopy diagnosis rate was91.8%, different time of active bleeding the detecting rate of 〈24 h and 24-48 h compared to the check rate had significant difference（P〈0.05）, emergency gastroscopic hemostasis with an efficiency of 90.8% different treatment time, a successful hemostasis rate had no significant difference（P〉0.05）. Conclusion Emergency gastroscopic examination and treatment is not only beneficial to the diagnosis of hemorrhage of upper digestive tract, but also the effective treatment method, microscopic examination of the sooner the better.

关 键 词：消化道出血 急诊胃镜 诊治 

分 类 号：R573.2[医药卫生—消化系统]