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为了对比观察1/10000肾上腺素、10%高渗盐水和生理盐水经内镜注射治疗消化性溃疡出血的疗效,将81例消化性溃疡出血患者分为3组,其中肾上腺组27例,10%高渗盐水组30例,生理盐水组24例。48h止血率在3组分别为88.9%、86.7%、87.5%,1周内再出血率分别为12.5%、15.4%和14.3%,手术率为14.8%、10%和12.5%。观察期间未发生并发症,无1例死亡。3组间的止血率、1周内再出血率和外科手术率均没有明显差别(P>0.05)。结论:1/10000肾上腺素、10%高渗盐水和生理盐水中的任何一种都可以作为内镜注射治疗消化性溃疡出血的首选药物
In order to compare the efficacy of 1/10000 epinephrine, 10% hypertonic saline and saline treated by endoscopic injection in the treatment of peptic ulcer bleeding, 81 patients with peptic ulcer bleeding were divided into 3 groups, including 27 cases of adrenal gland, 10% 30 cases of hypertonic saline group, 24 cases of saline group. The rate of hemostasis at 48h was 88.9%, 86.7% and 87.5% respectively in 3 groups, 12.5%, 15.4% and 14.3% respectively in 1 week, and the operation rate was 14 .8%, 10% and 12.5%. No complications occurred during the observation period, and no one died. There was no significant difference between the three groups in the rate of hemostasis, rate of rebleeding within 1 week and surgical rate (P> 0.05). CONCLUSIONS: 1/10000 epinephrine, 10% hypertonic saline, and saline can all be the drug of choice for the treatment of peptic ulcer bleeding by endoscopic injection