论文部分内容阅读
目的:探讨胃镜诊治上消化道出血的时间与临床疗效的关系。方法:回顾分析上消化道出血患者76例,根据入院后胃镜检查的不同时段分为急诊24 h组(入院后12~24 h内行胃镜检查)、急诊48 h组(入院后24~48 h内行胃镜检查)和择期组(出血48 h后行胃镜检查)20例。比较3组患者胃镜下检出率、立即止血率、再次出血率、输血量、住院时间、住院费用、并发症率及病死率。结果:3组患者的立即止血率、并发症率和病死率的差异无统计学意义(P>0.05)。胃镜时间越早,病变检出率越高,再次出血率越低,输血量越少,住院时间越短,住院费用越低,差异有统计学意义(P<0.05或P<0.01)。结论:急诊24 h组、急诊48 h组对上消化道出血患者具有较大的诊疗优势,尤其出血24 h内是急诊胃镜诊治的最佳时间。
Objective: To investigate the relationship between the time of gastroscopy diagnosis and treatment of upper gastrointestinal bleeding and clinical efficacy. Methods: A total of 76 patients with upper gastrointestinal bleeding were retrospectively analyzed. They were divided into emergency 24 h group (gastroscopy 12 to 24 h after admission), emergency 48 h group (24 to 48 h after admission) Gastroscopy) and elective group (bleeding 48 h after endoscopy) 20 cases. The gastroscope detection rate, immediate hemostasis rate, rebleeding rate, blood transfusion, hospitalization time, hospitalization cost, complication rate and mortality were compared between the three groups. Results: There was no significant difference in immediate hemostasis rate, complication rate and mortality between the three groups (P> 0.05). The earlier gastroscopy, the higher the rate of lesion detection, the lower the rate of rebleeding, the less blood transfusion, shorter hospital stay, lower hospitalization costs, the difference was statistically significant (P <0.05 or P <0.01). Conclusion: The 24 h emergency group and the 48 h emergency group have great advantages in the diagnosis and treatment of patients with upper gastrointestinal bleeding, especially within 24 h after bleeding, which is the best time for diagnosis and treatment of emergency gastroscopy.