内镜下逆行胰胆管造影术后并发急性上消化道出血的急诊内镜诊疗  

Diagnosis and therapy of emergency endoscopy in acute upper gastrointestinal bleeding post-ERCP

作　　者：赖亚栋[1] 陈俊杰[1] 许向农[1] 林淑惠[1] 刘麒樱[1] 陈雪芬[1] 

机构地区：[1]福建医科大学附属漳州市医院消化内科,福建漳州363000

出　　处：《中国内镜杂志》2014年第11期1207-1209,共3页China Journal of Endoscopy

摘　　要：目的分析内镜下逆行性胰胆管造影（ERCP）术后并发急性上消化道出血的临床表现和急诊内镜诊疗情况。方法回顾性分析2007年9月-2012年9月于该科行ERCP 753例患者资料,其中并发急性上消化道出血8例。表现为黑便和（或）呕血,于ERCP术后1-3 d发生。7例行急诊内镜检查,5例行内镜下止血治疗,2例无需内镜止血治疗,另1例拒绝内镜检查给予抑酸治疗。结果 8例患者完全成功止血。结论 ERCP术后并发急性上消化道出血相对少见,但部分患者出血严重,急诊内镜诊疗简便、有效。[ Objective ] To investigate the clinical manifestation and emergency endoscopic diagnosis and ther-apy in acute gastrointestinal bleeding post-ERCP. [Methods ] A retrospective study was performed in our institutionof 753 patients who underwent ERCP between September 2007 to September 2012.There were 8 cases with acutegastrointestinal bleeding. The manifestation was melena or and haematemesis in 1-3 days after ERCP. 7 cases un-derwent emergency endoscopy and 5 cases implemented therapeutic endoscopy.1 case accepted drugs only. [Re-sults ] Bleeding was stopped in all cases successfully. [ Conclusions ] Emergency endoscopic diagnosis and therapyis feasible, effective, and safe in patients with acute gastrointestinal bleeding post-ERCP.

关 键 词：ERCP 急性上消化道出血 急诊内镜 

分 类 号：R573.2[医药卫生—消化系统]