摘要
目的探讨内镜下治疗消化性溃疡并出血的治疗效果及价值。方法对46例消化性溃疡并出血急诊内镜检查Forrest分级为Ⅰ级及Ⅱ级患者,初次均行内镜下局部注射1∶10000肾上腺素盐水止血治疗,24h内再出血患者予再次注射治疗并联合电凝或止血夹治疗。结果46例患者初次内镜下治疗均立即止血,24h内再出血6例,再次内镜下治疗3例失败转外科手术治疗。初次止血率为86.9%,总止血率为93.5%。结论内镜下止血治疗对消化性溃疡并出血疗效肯定,安全,提高了内科治疗效果,减少了外科手术率。
[Objective] To investigate the effect and value of the treatment of hemorrhagic peptic ulcer under the endoscope. [Methods] 46 patients with hemorrhagic peptic ulcer were observed emergencily with the endoscope and classified by Forrest grade Ⅰ and grade Ⅱ. For the first time they were local injected with 1/10 000 adnephrin saline under the endoscope, and those patients who bleeded again within 24 hour after the first treatment were gave injection associated with electric coagulation or hemostasia clip. [Results] 46 patients were hemostasia immediately after the first treatment, among them 6 patients bleeded again within 24 hour, 3 patients were given surgical intervention after failure in the second treatment. The first rate of haemorrhage was 86.9% and the total rate of haemorrhage was 93.5%. [Conclusions] The hemostasia treatment under the endoscope is effectual and safe to the peptic ulcer, which can rise the therapeutic efficacy in department of internal medicine and decrease the surgical intervention rate.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第11期1180-1181,1184,共3页
China Journal of Endoscopy
关键词
消化性溃疡
出血
内镜下治疗
peptic ulcer
bleeding
treatment under endoscope
