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作者在一项前瞻性随机试验中,对用内镜注射肾上腺素治疗活动性出血性溃疡的效果进行了评价。病人和方法 961例因上消化道出血作紧急内镜检查,查明68例有活动性出血性溃疡。将68例随机分为治疗组(34例)和对照组(34例)。治疗组用易弯曲的注射针(Olympus NM-1K)经内镜活检通道插入,在出血点及其周围多点穿刺,每点注入1:10000肾上腺素0.5ml,直至出血停止。对照组不作内镜处理。两组在年龄、性别、溃疡位置和出血程度等方面
In a prospective randomized trial, the authors evaluated the efficacy of endoscopic injection of epinephrine for the treatment of active hemorrhagic ulcers. Patients and Methods 961 cases due to upper gastrointestinal bleeding for emergency endoscopy, found that 68 cases of active hemorrhagic ulcer. 68 cases were randomly divided into treatment group (34 cases) and control group (34 cases). In the treatment group, a flexible needle (Olympus NM-1K) was inserted through the endoscopic biopsy channel. Multi-point puncture was performed at and around the bleeding point. Infused 1: 10000 epinephrine 0.5ml at each point until the bleeding stopped. The control group was not treated by endoscopy. The two groups in terms of age, gender, ulcer location and extent of bleeding