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目的探讨上消化道大量出血的有效治疗方式。方法选取2011年10月至2013年10月我院急诊科收治的上消化道大量出血患者42例,从入院起均给予综合治疗措施,并观察治疗效果。结果 42例患者中,出血基本停止32例,均康复出院或转入消化内科治疗;血量明显减少2例,待体征平稳后转入普外科治疗,治疗有效率为81.0%;抢救无效死亡8例,病死率为19.0%。结论运用内科综合方式治疗上消化道大量出血起效快,能降低患者病死率,必要时可进行外科手术治疗。
Objective To investigate the effective treatment of massive upper gastrointestinal bleeding. Methods Forty-two patients with massive upper gastrointestinal bleeding admitted to our emergency department from October 2011 to October 2013 were enrolled in this study. All the patients were given comprehensive treatment since the hospital admission and the therapeutic effects were observed. Results Of the 42 patients, hemorrhage basically stopped in 32 cases, and all were recovered or transferred to the digestive system. The blood volume decreased obviously in 2 cases. When the signs were stable, they were transferred to general surgery, the effective rate was 81.0% For example, the case fatality rate was 19.0%. Conclusion The comprehensive treatment of upper gastrointestinal bleeding with a large number of rapid onset, can reduce the mortality of patients, if necessary, surgical treatment.