【摘要】 目的:探讨非静脉曲张性上消化道出血急诊内镜的诊治意义及价值.方法:对上消化道出血患者,急诊内镜检查明确病因及出血部位,然后根据不同情况选择适当止血方法,行内镜下止血治疗.结果:191例患者中,182例明确诊断,确诊率97.6%.并对其中63例内镜下可见活动性出血灶的患者行内镜下止血治疗,有效58例,再出血5例,止血有效率为92.1%,再出血率为7.9%.结论:对上消化道出血的患者行急诊内镜的诊治是安全可靠的,确诊率和止血率很高,再出血率相对较低,值得临床广泛应用.更多还原

【Abstract】 Objective:To study the availability of endoscopy in diagnosis and treatment of nonphlebeurysma-induced upper gastrointestinal bleeding(UGIB).Methods:The etiopathogenisis and location of UGIB were determined through endoscopy.Then proper hemostasises were applied through endoscopy according to concrete conditions.Results:182 patients of UGIB were confirmed from 191 patients through endoscopy with the accuracy of 97.6%.Among verified ones,63 patients with active bleeding were stopped bleeding through endoscopy.The achievement ratio of hemostasis is 92.1%(58 patients),and the relapse rate is 7.9%(5 patients).Conclusion:It is assumed that hemostasis through endoscopy is a safe and an effective means for UGIB.Its accuracy and achievement ratio are very high.更多还原