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目的:探讨胃镜下治疗胃溃疡出血的临床疗效。方法:纳入患者63例,除给予常规对症支持治疗外,还在胃镜指导下局部喷洒药物、电凝烧灼或放置金属钛夹进行止血。观察治疗方法的疗效及不良反应发生情况。结果:66.67%的患者在治疗1-3分钟内渗血停止;26.98%的患者在3-5分钟内出血停止。不良反应发生率为7.94%,主要表现为恶心、呕吐、便秘。结论:胃镜指导下治疗胃溃疡出血止血效果良好,不良反应小。
Objective: To investigate the clinical efficacy of endoscopy in the treatment of gastric ulcer bleeding. Methods: Sixty-three patients were enrolled in this study. In addition to the conventional symptomatic and supportive treatment, the patients were also given local spraying of drugs under the guidance of gastroscope, coagulation cauterization or placement of titanium clips to stop bleeding. To observe the efficacy of treatment and adverse reactions. RESULTS: 66.67% of patients stopped bleeding within 1-3 minutes of treatment and 26.98% of patients stopped bleeding within 3-5 minutes. The incidence of adverse reactions was 7.94%, mainly for nausea, vomiting, constipation. Conclusion: Gastroscope guided treatment of bleeding from gastric ulcer hemostasis with good adverse reactions.