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术中内镜检查对上消化道大出血的诊断意义

THE SIGNIFICANCE OF INTRAOPERATIVE ENDOSCOPY IN THE DIAGNOSIS OF UPPER GASTROINTESTINAL MASSIVE HEMORRHAGE

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【作者】 陈正煊卢丽锋曾润莲徐革

【Author】 Chen Zhengxuan;et al.(Department of Surgery, The First Alfiliated Hospital, Sun YatsenUniversity of Medical Sciences, Guangzhou, Guangdong 510080, P. R. China)

【机构】 中山医科大学附属第一医院外科!510080中山医科大学附属第一医院内镜科

【摘要】 该文报告对上消化道大出血病人术中施行内镜检查28例,其中经口腔插镜10例,经胃肠切口置镜18例。发现出血病灶26例(92.9%)。经手术治愈25例,死亡3例。其中2例镜检时分不清真正出血原因,水后再度出血死亡,1例镜检时出现心跳骤停,水后昏迷死亡。文中就水中镜检的指征、方法、镜检与手术探查的关系及临床应用应注意的问题进行了讨论。

【Abstract】 Intraoperative endoscopy was used to examine 28 patients with upper gastrointestinal massive hemorrhage. Theendoscope was inserted orally (ten cases) or through an incision in the gastrointestinal tract (18 cases). The sourcesof bleeding were determined in 26 patients (92. 9%). Twenty five patients were cured by operations and three died.Two patients whose bleeding sources were unknown died of post - operative hemorrhaging, and one patient experienced cardiac arrest during the intraoperative endoscopy, fell into a coma and died after the operation. This paper discusses the indications, methods, attentions of intraoperative endoscopy, and the relationship between the explorationand endoscopy.

  • 【文献出处】 中国内镜杂志 ,CHINA JOURNAL OF ENDOSCOPY , 编辑部邮箱 ,1997年03期
  • 【分类号】R573.2
  • 【被引频次】11
  • 【下载频次】11
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