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内镜下金属夹和注射硬化剂治疗消化性溃疡大出血 被引量:8

The Clinical Value of Endoscopic Hemoclipping and Injection for Severe Peptic Ulcer Hemorrhage
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摘要 目的:探讨经内镜金属夹和注射硬化剂治疗消化性溃疡出血的临床价值。方法:对2005年1月—2008年1月89例经内镜金属夹和注射硬化剂治疗的消化性溃疡出血患者的临床资料进行回顾分析。结果:89例患者止血成功81例,初次治疗成功率为91.0%(81/89)。再出血8例,再次内镜下止血5例成功,3例治疗无效转外科手术治疗,总有效率为96.6%(86/89)。结论:内镜下金属夹和注射硬化剂治疗消化性溃疡出血是一种安全、有效的方法,可作为首选方法在临床上推广应用。 Objective: To evaluate the clinical value of endoscopic hemoclipping and injection for severe peptic ulcer hemor rhage. Methods:The clinical data of 89 patients with severe peptic ulcer hemorrhage treated with endoscopic hemoclipping and injection from January 2005 to January 2008 were analysed retrospectively. Results: Of 89 patients, 81 patients were hemostasia after the first treatment, the first hemostatic rate was 91.0% (81/89). 8 patients bleeded again within 48 hours, 3 patients were given surgical intervention after failure in the second treatment. The total rate of hemostasis was 96.6% (86/89). Conclusion:Endoscopic treatment for bleeding peptic ulcer is an effective and safe method, should be regarded as the first choice in clinical practice.
出处 《中国临床医学》 北大核心 2008年第6期814-815,共2页 Chinese Journal of Clinical Medicine
关键词 消化性溃疡 出血 内镜 Peptic ulcer Hemorrhage Endoscopy
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  • 1刘厚钰,姚礼庆主编..现代内镜学[M].上海:复旦大学出版社;上海医科大学出版社,2001:539.
  • 2Brullet E, Campo R, Calvet X, et al. A randomized study of the safety of outpatient care for patients with bleeding peptic ulcer treated by endoscopic injection[J]. Gastroitest Endosc, 2004, 60 (1): 15-21. 被引量:1
  • 3Yamaguchi Y, Yamato T, Katsumi N, et al. Short-term and long-term benefits of endoscopic hemolip application for Dieulafoy's lesion in the upper GI tract[J]. Gastrointest Endosc, 2003, 57(6): 653-656. 被引量:1
  • 4Calvet X, Vergara M, Brullet E, et al. Addition of a second endoscopie treatment following epinephrine injection improves outcome in high-risk bleeding ulcers [J].Gastroenterology, 2004 126(2): 441- 450. 被引量:1

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