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急性上消化道出血临床颇常见,病死率可高达8～13.7%。近十几年来,由于上消化道纤维内窥镜检查、选择性腹腔脏器动脉造影和放射性核素锝测定的广泛应用,急性上消化道出血的诊断水平和治疗方法有了很大改观。现就出血部位、病因诊断和非外科手术止血方法的效果作一简述。一、出血部位和病因诊断单凭病史和体检对确定出血部位和病因常有困难,Forrest认为其正确率仅40%。近年来提出以下诊断方法确定出血部位和病因。
Acute upper gastrointestinal bleeding is quite common, case fatality rate can be as high as 8 ~ 13.7%. In recent decades, due to the upper gastrointestinal fiber endoscopy, selective abdominal viscera angiography and radioactive isotope technetium determination of the wide range of applications, the diagnosis of acute upper gastrointestinal bleeding and treatment has been greatly improved. Now on the bleeding site, the cause of diagnosis and non-surgical methods to stop the bleeding effect of a brief review. First, the bleeding site and etiological diagnosis alone Medical history and physical examination to determine the bleeding site and cause often difficult, Forrest that its correct rate of only 40%. In recent years, the following diagnostic methods to determine the bleeding site and cause.