有人认为对所有上消化道出血病人进行早期常规内窥镜检查,可早期确立诊断,对病情处理更为有利。当然,在应用一般治疗措施后仍持续出血的病人,需要进一步明确诊断的重要性是没有疑义的,例如食管静脉曲张破裂需要考虑气囊压迫措施,消化性溃疡持续出血需考虑手术治疗等,对这些病人的合理治疗就需要确立诊断和明确出血的部位。然而在极大多数经初步治疗即行止血的病人,并不是所有医师均主张将其列为早期内窥镜检查的对象,因为这类病人不论是什么原因出血, Some people think that all patients with upper gastrointestinal bleeding routine early endoscopy, diagnosis can be established early, the treatment of the disease is more favorable. Of course, in patients with persistent bleeding after the application of general treatment, there is no doubt that the importance of the diagnosis needs to be further clarified. For example, rupture of esophageal varices requires consideration of balloon compression and peptic ulcer bleeding should be considered for surgical treatment. Reasonable treatment of patients need to establish the diagnosis and a clear site of bleeding. However, in the vast majority of patients who undergo hemostasis on initial treatment, not all physicians advocate the inclusion of early bleeding endoscopy because of bleeding regardless of the cause,