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目的探讨胃十二指肠球部小动脉出血急症诊治的相关因素。方法对胃十二指肠球部小动脉出血28例急诊手术 ,37例保守治疗的有关诊治资料进行统计学处理。结果急诊胃镜前胃内冲洗止血处理诊断率明显高于对照组 ,急诊手术组病变位于胃体、不伴溃疡、应激的发生率明显高于非手术组。结论冰盐水加去甲肾上腺素洗胃有助于急诊胃镜对小动脉出血的诊断 ;机体应激时、不伴溃疡、胃体部小动脉出血可考虑是急诊手术的指征
Objective To investigate the related factors of emergency diagnosis and treatment of gastro-duodenal arteriole hemorrhage. Methods Gastro-duodenal arteriolar hemorrhage in 28 cases of emergency surgery, 37 cases of conservative treatment of relevant data for statistical analysis. Results The diagnosis rate of anterior gastroscopy plus intragastric hemostasis was significantly higher than that of the control group. The lesions in the emergency operation group were located in the corpus, with no ulcer. The incidence of stress was significantly higher than that of the non-operation group. Conclusion The addition of naltrexone plus saline to gastric lavage is helpful for the diagnosis of arteriolar hemorrhage due to emergency gastroscopy. When the body is stressed and not accompanied with ulcer, the bleeding of the arterioles of the gastric body can be considered as an indication of emergency surgery