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目的 探讨老年人急性应激性溃疡的急诊胃镜检查。方法 对 2 5例老年人急性应激性溃疡急诊胃镜检查、治疗、病因进行分析。结果 2 1例胃镜下广泛充血、水肿、糜烂伴多发、散在性溃疡( 84% ) ,以胃体大、小弯侧为主。胃镜直视下喷洒止血药 ,出血明显减少 17例 ( 81% ) ,出血控制 4例( 19% ) ,未发现活动性出血 4例 ( 16% )。结论 急诊胃镜检查是老年人急性应激性溃疡诊断和治疗的重要手段 ,在严密监护下操作是安全可行的
Objective To investigate the emergency gastroscopy of acute stress ulcer in the elderly. Methods Emergency gastroscopy, treatment and etiology of acute stress ulcer in 25 elderly patients were analyzed. Results In 21 cases, extensive hyperemia, edema and erosion accompanied with multiple ulceration (84%) were observed under endoscopy. Gastroscope under direct vision hemostatic spraying, bleeding was significantly reduced in 17 cases (81%), bleeding control in 4 cases (19%), no active bleeding in 4 cases (16%). Conclusion Emergency gastroscopy is an important method for the diagnosis and treatment of acute stress ulcer in the elderly. It is safe and feasible to operate under close supervision