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目的 :探讨紧急胃镜术对上消化道出血患者病因诊断及病灶内镜下治疗措施的临床价值。方法 :对 471例上消化道出血患者胃镜检查及治疗结果进行回顾性分析。结果 :394例紧急胃镜检查病变检出率91 6 % ,77例非紧急胃镜检查病变检出率 76 6 % (P <0 0 1) ;出血主要病因依次为消化性溃疡 ,急性胃粘膜病变 ,食管静脉曲张及胃癌 ;食管静脉曲张破裂出血 11例 ,结扎治疗有效 10例。非门脉高压上消化道出血 31例 ,内镜下注射治疗有效 2 9例 ,内镜下治疗总有效率 92 9%。结论 :上消化道出血患者 ,应尽早行内镜检查 ;有活动性出血者内镜下止血是安全而有效的治疗措施。
Objective: To investigate the clinical value of emergency gastroscopy in the diagnosis of etiology of upper gastrointestinal hemorrhage and endoscopic treatment of lesions. Methods: The gastroscopy and treatment of 471 patients with upper gastrointestinal bleeding were retrospectively analyzed. Results: The detection rate of 394 cases of emergency gastroscopy was 91.6%, 77 cases of non-emergency gastroscopy were 76.6% (P <0.01). The main causes of bleeding were peptic ulcer, acute gastric mucosal lesions, Esophageal varices and gastric cancer; esophageal variceal bleeding in 11 cases, ligation and effective treatment in 10 cases. Non-portal hypertension in upper gastrointestinal bleeding in 31 cases, endoscopic injection treatment effective 29 cases, the total effective rate of endoscopic treatment 92 9%. Conclusion: Patients with upper gastrointestinal bleeding should be examined by endoscopy as soon as possible. Endoscopic hemostasis with active bleeding is a safe and effective treatment.