摘要
目的探讨急性胃底静脉曲张破裂出血的临床特点、胃镜分型、镜下治疗方案及疗效分析,提高胃底静脉曲张破裂出血的急诊胃镜止血成功率。方法回顾性分析惠州市第一人民医院2018年5月至2020年5月经急诊胃镜检查,确诊为胃底静脉曲张破裂出血并行内镜下治疗的患者103例,其中碘化油组69例、聚桂醇组34例,分析患者的临床特点、胃镜下分型、治疗方案及效果。结果急性胃底静脉曲张破裂出血多见于40~60岁的女性,临床表现多为呕血。胃镜下分型以GOV1型多见。碘化油组与聚桂醇组急诊止血成功率比较,差异无统计学意义(P>0.05)。结论胃底静脉曲张破裂出血的急诊胃镜止血疗效尚可、成功率较高,值得临床推广。
Objective To explore the clinical characteristics,endoscopic classification,endoscopic treatment and efficacy analysis of acute gastric varices bleeding,and to improve the success rate of emergency endoscopic hemostasis for gastric varices bleeding.Methods A total of 103 patients with gastric varices bleeding diagnosed by emergency gastroscopy and undergoing endoscopic treatment in Huizhou First Hospital from May 2018 to May 2020 were retrospectively analyzed,including 69 cases in the iodized oil group and 34 cases in the lauromacrogol group.The clinical characteristics,endoscopic classification,treatment regimen and effect of the patients were analyzed.Results Acute gastric varices bleeding was more common in female patients aged 40-60 years,and the clinical manifestation was hematemesis.GOV type 1 was the most common type based on endoscopic classification.There was no significant difference in the success rate of emergency hemostasis between the iodized oil group and the lauromacrogol group(P>0.05).Conclusion Emergency gastroscopic hemostasis for bleeding from gastric fundus varices is of fair efficacy and hi gh success rate,which is worthy of clinical promotion.
作者
余中贵
YU Zhonggui(Department of Gastroenterology,Huizhou First People’s Hospital,Guangdong,Huizhou 516001,China)
出处
《中国医药科学》
2022年第19期172-174,共3页
China Medicine And Pharmacy
