| 陈涛，谢黎明.126例急性上消化道出血内窥镜治疗的疗效分析.[J].中南医学科学杂志.,2013,41(6):593-595. |
| 126例急性上消化道出血内窥镜治疗的疗效分析 |
| The Clinic Outcome and Complication of Upper GastrointestinalBleeding Using Endoscopic Hemostasis in 126 Cases |
| 投稿时间：2013-04-27 |
| DOI： |
| 中文关键词: 上消化道出血 内窥镜 止血 疗效 |
| 英文关键词:upper gastrointestinal bleeding endoscopic hemostasis outcome |
| 基金项目: |
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| 中文摘要: |
| 目的探讨消化内窥镜治疗非曲张性上消化道出血的临床效果及并发症。方法回顾性选取内镜下止血治疗非曲张性上消化道出血126例作为治疗组，以同期采用保守治疗（8 mg去甲肾上腺素及云南白药4 g加水100 mL口服，1次/小时）56例患者作为对照组，比较并分析两组的疗效及并发症。结果内镜止血疗效整体优于保守治疗（P＝0.017），但再出血发生率间差异无显著性（P＝0.514）。选择在内镜治疗后不同时间点1～2周、1个月、3个月进行体查加内镜复查，所有患者治疗后未见穿孔、狭窄、血管栓塞等严重并发症。结论内镜下治疗急性非曲张性上消化道出血，安全、方便、微创，能极大地减低外科急诊手术率。 |
| 英文摘要: |
| ObjectiveTo evaluate the clinic outcome and complication of non-variceal upper gastrointestinal bleeding using endoscopic hemostasis.Methods126 non-variceal upper gastrointestinal bleeding patients were selected as treatment group using endoscopic hemostasis,56 synchronization patients were selected as control group using conservative treatment,and the clinical outcome and complication were evaluated.ResultsEndoscopic hemostasis showed more significant advantages in treating non-variceal upper gastrointestinal bleeding than conservative treatment,without different rates of complication.ConclusionEndoscopic hemostasis possesses the advantages including safety,convenience,mini-injury and greatly reducing the emergency surgery operation rate. |
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