论文部分内容阅读
五十年来医学有很大进展,但上消化道急性出血的死亡率仍保持在6％～10％。其原因是患者年龄较以前增高,且同时患有其他疾患,广泛应用阿司匹林和非甾体类抗炎药也增加了出血的危险性。 上消化道出血的患者中有70％～80％自发止血,但继续出血和复发出血仍为极大问题。八十年代初用内窥镜直接治疗近期的出血,可直接注射药物(如肾上腺素)或做多极电凝。多极电凝后出血少,很少连续出血,住院期短。剧烈出血或内窥镜治疗无效
In the past 50 years, great progress has been made in medicine, but the mortality rate of acute upper gastrointestinal bleeding remains at 6% -10%. The reason is that patients are older than before and suffer from other conditions. The widespread use of aspirin and non-steroidal anti-inflammatory drugs also increases the risk of bleeding. 70% to 80% of patients with upper gastrointestinal bleeding spontaneously stop bleeding, but continued bleeding and recurrent bleeding is still a great problem. The early eighties early endoscopic treatment of recent bleeding, direct injection of drugs (such as epinephrine) or do multipolar coagulation. Multi-pole coagulation less bleeding, rarely continuous bleeding, short hospitalization. Severe bleeding or endoscopic treatment ineffective