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内镜止血夹是治疗上消化道出血(UGIB)的一种有效方法。研究者对1994～1999年间应用内镜止血夹治疗食管贲门粘膜撕裂症(MWS)出血的病例进行了前瞻性评估。所有UGIB患者监护心动图、血压和血氧饱和度,于12h内作急诊内镜检查,将镜下MWS的UGIB分为活动性(动脉性喷血、搏动性流血或渗血)和非活动性(血管显露或新鲜血痂)出血。均应用止血夹治疗;而陈旧性血痂者仅作保守处理。术后给予患者标准剂量H_2受体拮抗剂和止吐药,并分别在24小时、5天和1个月作内镜复查。
Endoscopic hemostatic clip is an effective method for the treatment of upper gastrointestinal bleeding (UGIB). The investigators prospectively assessed the use of endoscopic hemostatic clips in the treatment of bleeding from esophageal and gastric cardia mucosal tears (MWS) between 1994 and 1999. All UGIB patients were monitored for cardiogram, blood pressure and oxygen saturation. Emergency endoscopy was performed within 12 hours. The UGIB of MWS was divided into activity (arterial spurting, pulsatile bleeding or bleeding) and inactivity (Vascular revealed or new blood scab) bleeding. Hemostatic clip are used to treat; while the old blood scab only for conservative treatment. Patients were given standard doses of H 2 receptor antagonists and antiemetic drugs, and were endoscopic retrospectively at 24 hours, 5 days and 1 month respectively.