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目的 通过内镜下注射和喷洒立止血 ,观察其对非食管胃底静脉破裂出血的上消化道出血的止血疗效。方法 对 175例 2 4小时内急诊内镜检查的非食管胃底静脉破裂出血的上消化道出血病人 ,随入院的先后次序分为三组 ,采用内镜下单纯注射喷洒立止血组 (A组 )、单纯注射喷洒肾上腺组 (B组 )和注射喷洒立止血加肾上腺混合组 (C组 )。结果 4 8h止血率联合组 95 .0 %明显高于立止血组和肾上腺素组 (P <0 .0 5 )。 1周内联合组再出血率 4 .9% ,明显低于肾上腺素组 14 .2 %和立止血组 12 .0 % (P <0 .0 5 )。结论 内镜下注射、喷洒立止血联合肾上腺素治疗非食管胃底静脉曲张破裂出血的上消化道出血是一种疗效可靠、安全、简便的治疗技术
Objective To observe the effect of hemostasis on upper gastrointestinal bleeding in non-esophageal-gastric-venous rupture by endoscopic injection and spray-stop bleeding. Methods One hundred and seventy-five patients with upper gastrointestinal bleeding who underwent non-esophagogastric rupture of hemorrhage during 24 hours of emergency endoscopy were divided into three groups according to the sequence of hospital admission. ), Simple injection of adrenal gland (group B) and injection of rhizome blood plus adrenal mixed group (group C). Results 48 h hemostasis combined group 95.0% was significantly higher than the standing blood group and adrenaline group (P <0.05). The rebleeding rate in the combined group was 4.9% within 1 week, which was significantly lower than that in the epinephrine group (14.2%) and the antithrombotic group (12.0%, P <0.05). Conclusions Endoscopic injection and spraying of hemostatic combined with epinephrine in the treatment of upper gastrointestinal bleeding caused by non-esophageal variceal bleeding is a reliable, safe and simple therapeutic technique