93例非门脉高压性上消化道出血的临床诊治探讨  

Diagnosis and Treatment of Nonportal Hypertensive Upper Gastrointestinal Hemorrhage: An Clinical Observation on 93 Cases

作　　者：邵文超[1] 张所山 仲红[1] 

机构地区：[1]江苏省沭阳县中医院内科,江苏沭阳223600

出　　处：《中外医疗》2015年第33期85-87,共3页China & Foreign Medical Treatment

摘　　要：目的探讨非门脉高压性上消化道出血的诊治疗效。方法整群选取该院2013年2月—2014年5月收治的93例非门脉高压性上消化道出血的病人,对患者进行电子胃镜检查,明确病灶,采取常规治疗、内科保守治疗、内镜下止血治疗及相关手术处理等治疗措施。结果在接受治疗的93例患者中,痊愈34例,显效29例,有效25例,其中内镜下止血40例、5例转外科手术,治疗总有效率达到94.6%。结论采取常规治疗、内科保守治疗、内镜下止血及相关外科手术处理等治疗措施,可以使此类患者的临床症状得到有效缓解,提高治疗效果,临床安全性高,无不良反应发生,值得临床推广和应用。Objective To investigate the effect of diagnosis and treatment of nonportal hypertensive upper gastrointestinal hemorrhage. Methods 93 patients with nonportal hypertensive upper gastrointestinal hemorrhage admitted to this hospital from February 2013 and May 2014 were included. All the patients underwent electronic endoscopy to find out the lesions, and then conventional therapy, conservative internal medical therapy, endoscopic hemostasis therapy, related surgical treat-ment and other treatment measures were carried out. Results Of all the 93 patients, 34 were cured, 29 showed remarkable effect and 25 showed some effect; 40 of all the patients underwent endoscopic hemostasis therapy, and 5 who was expected to receive other treatment underwent surgery. The overall curative rate was as high as 94.6%. Conclusion Conventional therapy, conservative internal medical therapy, endoscopic hemostasis therapy, related surgical treatment and other treatment measures can effectively relieve the clinical symptoms of these patients and improve the curative effect, in addition, these treatments are of high clinical safety but no adverse reaction, therefore they are worthy of clinical promotion and applica-tion.

关 键 词：非门脉高压性上消化道出血 患者 诊治体会 

分 类 号：R573.2[医药卫生—消化系统]