急性胃出血的急诊治疗及临床效果分析  

Analysis of Emergency Treatment and Clinical Effect of Acute Gastric Hemorrhage

作　　者：徐凤彬 XU Fengbin(Emergency Department,Xishui Hospital Affiliated to Hubei University of Science and Technology,Xishui Hubei 438200,China)

机构地区：[1]湖北科技学院附属浠水医院急诊科

出　　处：《中国继续医学教育》2019年第18期95-97,共3页China Continuing Medical Education

摘　　要：目的评价急性胃出血患者的急诊治疗方案和治疗效果。方法选择2017年4月—2018年8月我院所收治的86例急性胃出血患者作为研究对象。对所有患者的临床病例资料进行回顾性分析、总结,调查急性胃出血患者的急诊治疗方案,并分析治疗效果。结果86例患者中,存在78例患者经过内科保守治疗后出血病灶经局部止血效果总体疗效满意,占90.70%。其中,保守治疗有效70例,有效率为89.7%;手术治疗有效3例,有效率为100.0%;其他治疗有效5例,有效率为100.0%。结论急诊胃出血病情较为危机,临床需迅速给予合理治疗对策,根据患者情况选择保守治疗、手术治疗及其他治疗方案来维护患者生命安全。Objective To evaluate the emergency treatment plan and treatment effect of patients with acute gastric bleeding. Methods 86 patients with acute gastric hemorrhage admitted to our hospital from April 2017 to August 2018 were selected as the study subjects. The clinical data of all patients were retrospectively analyzed and summarized. The emergency treatment plan of acute gastric hemorrhage patients was investigated and the therapeutic effect was analyzed. Results Among 86 patients, 78 patients (90.70%) had satisfactory local hemostasis effect after conservative medical treatment. Among them, conservative treatment was effective in 70 cases, the effective rate was 89.7%;surgical treatment was effective in 3 cases, the effective rate was 100.0%;other treatment was effective in 5 cases, the effective rate was 100.0%. Conclusion Emergency gastric hemorrhage is more critical, clinical need to quickly give reasonable treatment strategies, according to the patient's situation to choose conservative treatment, surgical treatment and other treatment programs to maintain patient safety.

关 键 词：急性胃出血 急诊治疗 临床效果 预后调查 保守治疗 止血处理 

分 类 号：R573[医药卫生—消化系统]