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作者对37例活动性出血性溃疡患者应用纤维胃镜和局部注射肾上腺素以控制消化性溃疡患者的活动性出血。全部病人经输血等综合处理后作内镜检查。方法为在活动性溃疡出血处及其周围邻近区域分别注入肾上腺素(1∶10000)0.5 ml,直至出血停止,常规观察5分钟,如无出血,然后拔出内镜。病人以后重复内镜检查以观察溃疡情况和出血特征。结果如下:37例出血性溃疡患者经内镜局部注射肾上腺素后出血均获控制,用药总量为1.5～10 ml(平均4.1 ml)。局部注射过程中除有暂时性心动过速外,无明显局部或全身性并发症。5例患者在注射后4小时至4天再次出血,其中1例自发性止血,1例
In 37 patients with active hemorrhagic ulcer, the authors applied fiber endoscopy and topical injection of epinephrine to control the active bleeding in patients with peptic ulcer. All patients after transfusion and other comprehensive treatment for endoscopic examination. Methods In the active ulcer bleeding and the surrounding area were injected epinephrine (1: 10000) 0.5 ml, until the bleeding stopped, routine observation of 5 minutes, if no bleeding, and then pull out the endoscopy. After the patient repeat the endoscopy to observe the ulcer situation and bleeding characteristics. The results are as follows: 37 patients with hemorrhagic ulcer endoscopic injection of epinephrine bleeding were controlled, the total amount of 1.5 to 10 ml (average 4.1 ml). In addition to local injection of temporary tachycardia, no obvious local or systemic complications. Five patients bleed again 4 to 4 days after injection, with 1 spontaneous hemostasis and 1