急性非静脉曲张性上消化道出血急诊处理疗效分析  

An Analysis of Clinical Effect of Emergency Treatment on Acute Non-variceal upper Gastrointestinal Bleeding

作　　者：林强康[1,2] 杨絮[1,2] 陈玲珑[1,2] 陈新国[1,2] 王万铁[3] 

机构地区：[1]温州医科大学温州市第三临床学院 [2]温州市人民医院,温州325000 [3]温州医科大学

出　　处：《数理医药学杂志》2015年第3期340-341,共2页Journal of Mathematical Medicine

摘　　要：目的:探讨和分析急性非静脉曲张性上消化道出血的急症疗效。方法:回顾性分析80例急性非静脉曲张性上消化道出血患者治疗资料,按末次出血至诊治时间分组:急诊组40例,均于24h内接受治疗;非急诊组40例,均于24h后接受治疗。对比病因明确诊断率、止血效果。结果:急诊组出血病因明确率、有效止血率均显著性高于非急诊组,而再出血率显著性低于非急诊组,上述差异均有统计学意义(P<0.05),即时止血率差异无明显差异,且两组均未出现严重并发症。结论:急诊处理可有效提升急性非静脉曲张性上消化道出血患者诊断及治疗效果,值得推广。Objective：To explore and analyze the effect of emergency treatment on acute non-variceal up-per gastrointestinal hemorrhage.Methods：A retrospective analysis were made on the data of 80 cases of with acute non-variceal upper gastrointestinal bleeding,group them according to duration from the last bleding time to diagnosis：40 cases for the emergency group,all were treated within 24h;40 cases for non-emergency group,all were treated beyond 24h.Compare definite etiology diagnosis rate and hemostatic effect.Results：In the emergency group ,the accurate rate of bleeding causa morbi,effective hemostasis rate were significant-ly higher than that in non-emergency group,and the rebleeding rate significantly lower than that of the non-emergency group,the difference was statistically significant （P＆lt;0.05）,and there was no obvious difference on immediate hemostasis rate in the two groups,and there were no severe complications in both group.Con-clusion：Emergency treatment can effectively improve diagnosis and treatment effect for patients with acute nonvariceal upper gastrointestinal,and it is worthy of promotion.

关 键 词：急性上消化道出血 胃镜检查 肾上腺素 急诊 

分 类 号：R573.2[医药卫生—消化系统]