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目的分析并探讨急性上消化道出血患者临床治疗方法及效果。方法 120例急性上消化道出血患者,对其临床资料进行回顾性分析,患者入院后,均在24 h内行胃镜检查,嘱咐患者卧床休息,出血量较多者,则及时要求其禁食,并给予抗酸、生长抑制剂、胃黏膜保护剂等。所有患者均按照病史,接受对症治疗。结果经过治疗后120例患者中,显效87例,有效28例,无效5例,治疗总有效率达到95.83%;本组患者止血时间、住院时间分别为(20.47±6.14)h、(9.58±317)d;本组120例患者中,仅有2例发生再出血,再出血发生率为1.67%。结论根据急性上消化道出血患者实际病情,对其实施针对性较强的治疗方法 ,有助于提高患者临床效果,缩短止血时间,减少再出血发生率。在对患者开展临床诊治工作时,要尽早明确病因,保证诊疗工作的安全性。
Objective To analyze and discuss the clinical treatment of acute upper gastrointestinal bleeding and its effect. Methods A total of 120 patients with acute upper gastrointestinal bleeding were retrospectively analyzed. All patients underwent gastroscopy within 24 hours after admitted to hospital. Patients were asked to rest in bed and the amount of bleeding was higher. Give acid, growth inhibitors, gastric mucosal protective agent. All patients according to medical history, symptomatic treatment. Results After treatment, 87 cases were markedly effective, 28 cases were effective, 5 cases were ineffective and the total effective rate was 95.83%. The bleeding time and hospital stay in this group were (20.47 ± 6.14) h and (9.58 ± 317 ) d; The group of 120 patients, only 2 cases of rebleeding, the incidence of rebleeding was 1.67%. Conclusion According to the actual condition of patients with acute upper gastrointestinal bleeding, the implementation of a more targeted treatment can help to improve the clinical effect, shorten the time to stop bleeding and reduce the incidence of rebleeding. When carrying out clinical diagnosis and treatment of patients, it is necessary to clarify the cause as soon as possible to ensure the safety of diagnosis and treatment work.