急诊胃镜在上消化道出血的诊治价值  

The Diagnostic and Therapeutic Value of Emergency Gastroscopy In Upper Gastrointestinal Bleeding

作　　者：孟锐 王雪[1] 石文娜 王洪斌 MENG Rui;WANG Xue;SHI Wenna;WANG Hongbin(Department of Gastroenterology,Qilu Hospital of Shandong University Dezhou Hospital,Dezhou Shandong 253000,China)

机构地区：[1]山东大学齐鲁医院德州医院消化内科,山东德州253000

出　　处：《德州学院学报》2024年第6期16-19,共4页Journal of Dezhou University

摘　　要：选择已完成胃镜检查的80例上消化道出血的患者,分为急诊组40例和择期组40例,比较两组的基线资料,分析其病因的诊断率、止血成功率、临床输血率、住院费用和住院天数。结果发现急诊胃镜组比择期组患者的年龄平均更小,急诊组血红蛋白明显高于择期组,急诊组对于上消化道出血的病因诊断率高于择期组,急诊组在住院天数、住院费用上明显少于择期组,两者差异有统计学意义(P<0.01)。研究发现急诊胃镜对上消化道出血的病因诊断率更具有优势,并且住院花费低、住院天数少,值得在临床上推广。Eighty patients who had completed gastroscopy due to upper gastrointestinal bleeding were selected and divided into two groups:the emergency group(40 cases)and the elective group(40 cases).The baseline data of both groups were compared,and the diagnostic rates of causes,hemostatic success rates,clinical transfusion rates,hospitalization costs,and length of stay were analyzed.The results showed that the average age of patients in the emergency group was significantly younger than that in the elective group.Additionally,the hemoglobin levels in the emergency group were significantly higher than those in the elective group.The diagnostic rate of causes for upper gastrointestinal bleeding was also higher in the emergency group compared to the elective group.Furthermore,the emergency group had significantly fewer days of hospitalization and lower hospitalization costs than the elective group,with a statistically significant difference between the two groups(P<0.01).In conclusion,emergency gastroscopy demonstrates a significant advantage in the diagnostic rate for causes of upper gastrointestinal bleeding,as well as lower hospitalization costs and shorter length of stay.Therefore,it is worth promoting in clinical practice.

关 键 词：上消化道出血 急诊胃镜 病因诊断率 诊治价值 

分 类 号：R573[医药卫生—消化系统]