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本文分析了内窥镜检查上消化道出血380例,发现阳性病变者341例(89.7％),溃疡病占首位43.7％,各种胃炎24.4％,肿瘤11.6％,食管静脉曲张3.68％。发现活动性出血及近期出血87例,其中48小时以内发现率55.56％,48小时以后18％。胃镜与X线诊断符合者43.5％,胃镜与手术或尸检符合串92.3％,X线与手术或尸检符合率68.9％。併发症4例,其中出血3例,1例检查后6小时呼吸衰竭死亡。我们认为在上消化道出血期间进行急症内窥镜检查是有益的也是安全的。
In this paper, we analyzed 380 cases of upper gastrointestinal bleeding by endoscopy and found 341 cases (89.7%) of the positive lesions, 43.7% of the ulcer diseases, 24.4% of various gastritis, 11.6% of tumors and 3.68% of esophageal varices. Eighty-seven cases of active bleeding and recent bleeding were found, of which 55.56% were found within 48 hours and 18% after 48 hours. Gastroscopy and X-ray diagnosis coincided 43.5%, gastroscopy and surgery or autopsy in line with string 92.3%, X-ray and surgery or autopsy coincidence rate of 68.9%. Complications in 4 cases, including 3 cases of bleeding, 1 case of respiratory failure after 6 hours of examination. We consider it useful and safe to conduct emergency endoscopy during upper gastrointestinal bleeding.