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目的评价静脉注射洛赛克治疗上消化道出血疗效。方法对138例上消化道出血予静脉注射洛赛克治疗,48h内进行内镜检查对出血是否停止进行判定,60例失血超过1000ml在治疗过程中静脉注losec40mg,2次/d,连用2d,随后40mg,ivgtt,qd,共5天改口服,78例失血少于1000ml,用洛赛克40mg,1次/d,连用3d后改20mg/d,口服,32例肝硬化合并上消化道出血者同时应用垂体后叶素缓慢静脉滴注。结果洛赛克止血有效率为:急性胃黏膜病变100%,肝硬化并上消化道出血93%。结论洛赛克静脉注射可作为治疗上消化道出血的首选。
Objective To evaluate the effect of intravenous injection of Losec on upper gastrointestinal bleeding. Methods 138 cases of upper gastrointestinal bleeding to intravenous injection of Losec treatment, 48h within the endoscopy to determine whether the bleeding stopped, 60 cases of blood loss more than 1000ml during the treatment of intravenous losec40mg, 2 times / d, once every 2d, Followed by 40mg, ivgtt, qd, a total of 5 days to change oral, 78 cases of blood loss less than 1000ml, with Losec 40mg, 1 / d, 3d after the change 20mg / d, oral, 32 cases of liver cirrhosis with upper gastrointestinal bleeding At the same time, application of pituitrin slowly intravenous infusion. Results Losec hemostasis efficiency: 100% of acute gastric mucosal lesions, cirrhosis and upper gastrointestinal bleeding 93%. Conclusion Losec intravenous injection can be used as the treatment of upper gastrointestinal bleeding preferred.