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急性上消化道大出血是临床常见急症,病死率较高。我院于1987年5月～1995年10月开展急诊胃镜检查以来,对150例内镜下有活动性出血灶,予以内镜下喷洒8％去甲贤上腺素盐水及凝血酶止血治疗,经临床观察疗效满意,现报告如下: 1 临床资料 1.1研究对象 本组150例,男121例,女29例,男女之比为4.2:1,年龄16～80岁,平均47.5岁。有柏油样便者42例,呕血31例,呕血伴黑便者77例。最多反复出血3次,最少1次。病人出血量均在800ml以上。41例合并失血性休克(占27.3％)。全部患者末次出血距离内镜检查时间均在48小时之内。
Acute upper gastrointestinal bleeding is a common clinical emergency, high mortality. Our hospital from May 1987 to October 1995 to carry out emergency gastroscopy since 150 cases of endoscopic active hemorrhage, to be endoscopic spray of 8% of norepinephrine saline and thromboplastin hemostasis, The clinical observation of satisfactory results, are as follows: 1 Clinical data 1.1 The study group of 150 patients, 121 males and 29 females, male to female ratio was 4.2: 1, aged 16 to 80 years, mean 47.5 years. There are 42 cases of asphalt-like, hematemesis in 31 cases, hematemesis with melena 77 cases. Bleeding up to 3 times, at least 1 times. The amount of bleeding in patients in more than 800ml. 41 cases with hemorrhagic shock (27.3%). The final bleeding distance of all patients was within 48 hours.