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我们于1981年就26例急性上消化道出血住院患者同时进行了棉线试验与急症胃内窥镜检查对比观察,以探讨棉线试验对急性上消化道出血的临床诊断价值。结果报告于下: 方法与步骤 1.患者入院后即取一根110公分长的脱脂棉线顶端系一小软糖令病人吞服,另一端用胶布条贴于唇旁。棉线粗细似鞋底线为宜。 2.留置4—6小时后,取出棉线。肉眼或用联苯胺试液涂染,以观察线上有无血染。阳性见线染为咖啡色或兰色,阴性为无色或黄色。 3.用皮尺侧出门齿到血染起始点的距离,以公分计。据其距离可初步判断出血的部位,同时结合临床资料作出近乎实际的诊断。 4.患者在入院后72小时内作急症胃内窥镜检查。以两者结果作对比分析,是否相符,以
We in 1981 on 26 cases of acute upper gastrointestinal bleeding in patients with simultaneous cotton thread test and acute stomach endoscopy contrast observation to explore the cotton test for the clinical diagnosis of acute upper gastrointestinal bleeding. The results reported in the following: Methods and Procedures 1. Patients admitted to the hospital after taking a 110 cm long cotton thread at the top of a small soft candy swallowed the patient, the other end with tape affixed to the lips. Slimy cotton-like soles line is appropriate. 2. After leaving for 4-6 hours, remove the cotton thread. Naked eye or benzidine test solution coating, to observe whether there is blood-borne online. Positive line stained brown or brown, negative for the colorless or yellow. 3. With the tape out of the starting point to the starting point of blood stained distance to centimeters. According to the distance can be initially judged the site of bleeding, combined with clinical data to make near-actual diagnosis. 4. Patients within 72 hours after admission for emergency stomach endoscopy. To compare the results of the two, is consistent with