我院自1987年11月～1990年8月,采用磁化胃液,持续提高胃液pH值的方法治疗顽固性上消化道出血13例。现报告如下。临床资料与方法病例选择以Henry L提出的“持续性或复发性出血急诊手术指征”作为顽固性上消化道出血的诊断标准选择了13例病人。常规甲氰咪呱每日0.8～1.2g静注及输液,第2～10日仍然出血。发生休克4例,Hb41～80g/L,平均56.7g/L。总出血量1200ml～3500ml,平均1840ml。男11例,女2例。年龄23～62岁,平均51岁。病因:应激性溃疡5例(脑出血4例、腹部手术所致肠系膜根部扭转休克1例);消化性溃疡7例(12指肠球溃疡4例、幽门管、胃角、胃窦溃疡各1例);肝硬化并肝癌1例。治疗方法下胃管,每2小时一次自胃管注入氢氧化腭胶30ml,首剂加倍。注药前抽尽胃液,以 Our hospital from November 1987 to August 1990, the use of magnetized gastric juice, gastric juice continued to increase the value of the method of treatment of refractory upper gastrointestinal bleeding in 13 cases. The report is as follows. Clinical Data and Methods Case Selection Thirteen patients were selected as the diagnostic criteria for refractory upper gastrointestinal bleeding based on Henry L’s “Indication of Continued or Recurrent Hemorrhage”. Conventional cimetidine daily 0.8 ~ 1.2g intravenous infusion and infusion, 2 to 10 days still bleeding. 4 cases of shock occurred, Hb41 ~ 80g / L, an average of 56.7g / L. The total amount of bleeding 1200ml ~ 3500ml, an average of 1840ml. There were 11 males and 2 females. Age 23 to 62 years, mean 51 years old. Etiology: 5 cases of stress ulcer (cerebral hemorrhage in 4 cases, 1 case of mesenteric root torsion shock caused by abdominal surgery); peptic ulcer in 7 cases (12 cases of 4 cases of duodenal ulcer, pyloric duct, gastric angle, gastric ulcer 1 case); cirrhosis and liver cancer in 1 case. Treatment of gastric tube, once every 2 hours from the stomach into the hydroxide gel palate 30ml, the first dose doubled. Before pumping medicine to make gastric juice, to